Gynecology, Women's Health
The Possible Hazards of Pill Substitution
A 22 year old student says, "I've been on the birth control pill (BCP) for several years. Now my pharmacist wants to give me a generic BCP rather than my regular one. What should I know about these other pills?" It's a good question, and parents should also be concerned about substitution. Brand name birth control pills are those produced by established pharmaceutical companies that have spent years of research and millions of dollars to develop the pill. But once their patent expires other companies can make a copycat version. The Society of Obstetricians and Gynecologists of Canada (SOGC) reports that it welcomes the increased choice of less expensive options. But adds that to qualify as an equivalent to existing brands generic...Read More
Gynecology, Surgery, Women's Health
Gas and Cesarean Operations at Record Highs
Not only is the price of gas rocketing to high levels. A recent report by the Society of Obstetricians and Gynecologists of Canada (SOGC) says that 26.3 percent of women now have babies delivered by Cesarean section. There are many different opinions of why this has happened in both Canada and the U.S. But William Shakespeare had the ultimate explanation. Not just North America has seen this increase. In Hong Kong the Cesarean rate is 27 percent and in Brazil 32 percent. And the rate in some private clinics in Brazil is an astounding 75 percent! These are hefty figures when the World Health Organization claims that a rate of over 15 percent is questionable. Years ago it would have been utter...Read More
Gynecology, Sex, Women's Health
Chocolates and Sex, The Wrong Gift for Valentine’s Day
"What did your husband give you for Valentine's Day?" I jokingly asked a 55 year old patient. She replied, "He brought home the usual gift, chocolates, but that won't solve my pain with sex. Nor can my own doctor, as he never talks about sexual matters." This is a scenario I often see in my office and it's time to break the hush that so often surrounds this problem. This woman had started into menopause at 50 years of age, suffering from flushes, insomnia and increased irritability. These symptoms had gradually faded without any treatment over a two-year period. But slowly she noted that sexual intercourse was becoming increasingly painful. And by Valentine's Day this year it was causing problems in...Read More
Gynecology, Miscellaneous
How Much Have You Learned From This Column in 2007?
Do I get an A for being a good teacher, or an E for effort? This week let's see how smart you are in answering these true and false questions. If anyone gets 100 percent they can write next week's column! A beer contains 100 calories, has no cholesterol, tryglcerides and is low in sodium. Over 20 world studies show that moderate drinkers live longer than either teetotalers or excessive drinkers. Fluoridation of water decreases the sperm count and testosterone levels in males. Montreal doesn't use fluoridation, Toronto does. That's one reason Montreal males are better lovers! Now 98 percent of European countries do not add fluoride to their water supply. 3- Astronauts living in a gravity-free atmosphere are more likely to develop...Read More
Cancer, Gynecology
Obese Men and Women More Likely to Die of Breast Cancer
What a devastating experience it must have been for Elizabeth Edwards, wife of the former U.S. vice-presidential candidate John Edwards, to be told on the day of his loss, after spending two grueling years campaigning with him that she had breast cancer. This was more than enough bad news for one day. Unfortunately for both sexes obesity increases the risk of many malignancies. Dr. Penny Anderson, a cancer specialist at the Fox Chase Cancer Center in Philadelphia, reports that obese breast cancer patients are more likely to die than normal weight women. Yet another blow for Elizabeth Edwards who spoke candidly during the campaign about her struggles to control weight. Dr. Anderson and her colleagues studied 2010 women who had been treated...Read More
Gynecology, Women's Health
If Estrogen Causes Cancer Where is the Epidemic?
What would I do if I were a woman at the age of menopause and read the headline, "Breast cancer drop linked to decline in hormone therapy". I'd be scared as hell if I was already taking estrogen and consider flushing it down the toilet. But what should menopausal women do if they have an whelming desire to kick the cat or their husband? In 2002, a study of 16,000 women aged 50 to 79 showed that hormone replacement therapy (HRT) increased the risk of breast cancer by 26 percent, stroke by 41 percent, heart attack by 29, the risk of cardiovascular disease by 22 percent and it doubled the rate of blood clots. These figures make your eyes pop out, but...Read More
Genitourinary, Gynecology, Infection
A Condom In The Mail? – Chlamydia
"What a unique way to get attention" I thought as I opened the morning's mail. What usually arrives on my desk is a host of medical reports. So I was surprised when two condoms fell out of one envelope. I wondered what was expected of me at 10:00am? And have I since put these condoms to good use? Eventually I discovered that Toronto Public Health had initiated a communication campaign for doctors to alert young people to the dangers of sexually transmitted infections (STI), particularly chlamydia. To see the whole campaign visit www.gettested.ca The package also contained informative posters about STI for examining rooms and an offer to doctors of a free supply of condoms for patients. It was hoped this would...Read More
Cancer, Gynecology, Women's Health
Ovarian Cancer, Scaring Women Half-To-Death
It's been said that, "A little knowledge is an dangerous thing." A report from the Mayo Clinic shows that this is particularly true when the subject is ovarian cancer. And it illustrates how easy it is to both inform women and worry them at the same time. Mayo researchers have claimed recently that there are early symptoms of ovarian cancer. To prove this they reviewed the symptoms of 107 women, aged 38 to 96, in the two years prior to being diagnosed with this disease. The most common complaints were crampy abdominal pain, increased frequency, urgency or leakage of urine. And they urged women with these symptoms to seek medical attention. But there's a major problem. Doctors see hundreds of women...Read More
Gynecology, Philosophy, Sex
Congratulations, You Should Be Proud At Your Age!
It was not a good day at the office. My morning was just ending, when two female investigators from the College of Physicians and Surgeons, arrived without notice and asked to see me. I was handed an envelope and one woman immediately started to take notes. This was not a good sign. So I asked the reason for the sudden visit and was shocked to hear I had been accused of sexual misconduct. That same day I was meeting my wife for lunch so I told her with trepidation what had just occurred. She immediately laughed and said, "Congratulations! At your age you should be proud of yourself!" But I didn't share her sense of humour at the time. As a medical...Read More
Cancer, Gynecology, Infection, Nutrition, Women's Health
Garadsil – A Vaccine To Prevent Cervical Cancer
Some patients you never forget. Years ago, a young talented pianist after years of dedicated study, was scheduled to give her first piano recital in Toronto. For months she noticed vaginal discharge and did nothing. Finally, due to abnormal bleeding she consulted me. Pelvic examination revealed an extensive cancer of the cervix. She died a few months later and never gave her recital. Now, a vaccine "Gardasil" will prevent these needless deaths. Worldwide cervical cancer strikes half a million women each year and 250,000 die from this disease. What causes these cancers was unknown for many years. Now, we know that the majority are due to infection with the Human Papillomavirus (HPV). The Human Papillomavirus is an extremely common virus and there...Read More
Genitourinary, Gynecology
Diapers Are Not Just For Babies – Urinary Incontinence
"We know where you're going!", is not a phrase that women want to hear. But due to an aging population increasing numbers of women are rushing to the bathroom. Some are suffering from urinary infection or an overactive bladder. But increasing numbers of women need frequent changes of diapers due to urinary stress incontinence. Unfortunately, many women with this problem are too embarrassed to seek help. But there are ways to help relieve patients of this annoying disorder. Urinary stress incontinence occurs when the pressure inside the bladder exceeds the pressure in the urethra, the small tube that conveys urine to the outside. The first symptom is urine leakage on occasions of stress such as coughing, sneezing, sitting down or jogging....Read More
Genitourinary, Gynecology, Infection, Sex
Sexually Transmitted Disease In Middle-Aged Adults
"Do you know where your children are and what they are doing?" is a question that often worries parents. Today sexually transmitted disease (STD) is on the rise in the teenage population. But what about the other side of the coin? A recent report shows that there's also good reason for teenagers to ponder, "Where are my parents tonight and what are they doing?" Studies show that STD rates, particularly chlamydia, are soaring in middle-aged adults. Dr. Colm O'Mahony is a urologist at the Countess of Chester NHS Trust in the U.K. He recently reported to the Women's Health Education and Research Society that now there is now a "second wave" of STDs occurring. The first wave is in the 16 to...Read More
Gynecology
New Technique Prevents Needless Hysterectomies
Why would a woman agree to surgical removal of the uterus when a hysterectomy-saving procedure, "endometrial ablation", is available? Given this choice the answer is obvious. But today thousands of women have never heard of this less invasive procedure due to political bureaucracy, short-sighted financing and a lack of trained doctors. So what should female patients and their families do to correct this situation? After all, good sense indicates it's madness to cut off an arm when amputating a finger will do. Today one woman in five over the age of 35 will have a hysterectomy. This requires several days of hospitalization, is more risky than endometrial ablation and requires several weeks of convalescence. But following endometrial ablation patients are back...Read More
Gynecology
The Yo-Yo Effect: Why It Results in Needless Mastectomies
Why don't doctors learn from history about breast cancer? Over 50 years ago a Scottish surgeon reported that radical removal of women's breasts did not improve their survival rate. Yet for decades many surgeons have continued to do this mutilating operation. Now it's been reported that whether a lumpectomy (removal only of the cancerous lump) or mastectomy (whole breast removal) is done also depends on where you live. What's happening in this country, and the U.S., is partly due to the Yo Yo effect. A study published in the Canadian Journal of Public Health shows that women living in Prince Edward Island are three times more likely to have a breast removed for breast cancer than women living in Quebec. Dr Ineke Neutal, an...Read More
Gynecology, Philosophy
A Cesarean Section On A Lucky Day?
Should pregnant women have the right to demand a Cesarean section even if there's no bone-fide reason for the operation? Or be allowed to have the C-section on a lucky day? Today more women are asking for this right. But is this request utter madness? Years ago it would have been sheer folly to perform a C-section unless there was a serious emergency. Women would have died from either uncontrollable bleeding or infection. Now it's a different story with improved surgical techniques and antibiotics. The International Federation of Gynecology and Obstetrics claims that since there's no evidence that a patient choice Cesarean has no benefits it's not ethically justified. The World Health Organization adds that a Cesarean section rate above 15 per cent...Read More
Gynecology, Medicine
Canadian Cancer Society Wrong Again
Why would The Canadian Cancer Society (CCS) make such an asinine statement? And why wait nearly two years to worry women once again about hormone replacement therapy (HRT)? The logic escapes me, but doesn't surprise me. Years ago, when I fought for the legalization of heroin to fight terminal cancer pain, CCS publicly fought me and continually made illogical statements. CCS has now urged women not to take HRT for menopausal symptoms except in rare instances, because it says, the health risks outweigh the benefits. Dr. Andre Lalonde, vice-president of the Society of Obstetricians and Gynecologists of Canada (SOGC), on reading the report remarked, "What's this nonsense? This isn't based on science. They are leaving women with the impression that if...Read More
Cancer, Gynecology, Nutrition
Milk Cuts Ovarian Cancer Risk By 50 Percent
How can we change these grim facts? That we can't diagnose early ovarian cancer. And that once this malignancy spreads to other organs, 85 percent of women are dead within five years. Every doctor asks himself this question when confronted with the tragic confirmation of this disease. Now a new study shows that drinking milk cuts the risk of ovarian cancer by 50 percent! It's logical for women to ask, "Why can't doctors diagnose early ovarian cancer?" After all, we live in an era of CT scans, MRI's, ultrasound and blood tests. Unfortunately none of these tests can spot "early" malignancies of the ovary. The problem is anatomy. The Creator was friendly to women when he or she placed the cervix at...Read More
Cancer, Cardiovascular, Gynecology
Infection and The Nation’s Number one Killer
For centuries infection has been the number one killer. But several years ago it appeared that antibiotics and vaccines had largely eradicated this menace. Then unexpectedly the AIDS virus struck with a vengeance. Lately, to the surprise of everyone, scientists are now linking infection to, peptic ulcers, heart attack and cancer. So how can you protect yourself and your family from these problems? In 1984 an Australian physician, Barry Marshall, decided to prove that his theory was right. He drank a bacteria laced concoction to show that it was bacteria, not stress, that caused peptic ulcers. Subsequent studies confirmed that most ulcers are infected with a bacterium called H. pylori. But there's a problem. About half the people over 60 years of...Read More
Cancer, Gynecology
The Wisdom of a Full Body Scan
How often do you wonder if that nagging pain is due to cancer? Or an impending heart attack? But suppose you're feeling fine, could there be a life-threatening disease present that hasn't been diagnosed? Some clinics now advertise it's possible to eliminate all these fears by a single "full body scan?" So what should you know about this 3-D peek at your insides? It's been recently announced that the world's largest MRI body-scan screening chain, Wellbeing Inc, will be established in Toronto. Wealthy investors in Canada and the U.S have anted up 300 million dollars to develop 121 body scanning centers around the world. Many of these digitized images will be interpreted by radiologists in Toronto whether they're done on patients...Read More
Gynecology, Lifestyle, Medicine
The Checkup, Too Much or Too Little?
What constitutes a good checkup examination? Good sense dictates that young children don't need a Pap smear for cervical cancer, a PSA test for prostate malignancy or X-ray studies to measure bone density. So what's done depends on the patient's age and it can save a life or prevent serious diseases. Today many hi-tech diagnostic tests are available, but the stethoscope is all that's needed to spot a big killer. Since 60 million North Americans have hypertension a blood pressure check must be a part of every annual examination. It's the second leading cause of kidney failure. Routine blood tests help to pinpoint problems such as anemia. But today the one test everyone wants done is blood cholesterol. What's debatable is when...Read More
