Gwyneth Paltrow’s detox smoothie has too much arsenic for my taste

Gwyneth Paltrow threw down the gauntlet. Having people ask about the validity of second-hand medical information from a ghost, wanting explanations about the antiparasitic properties of goat milk, or questioning the physics of recharging a jade egg with lunar energy is apparently more tiresome than adrenal fatigue. Too much entropy!  To remind herself that chicks …

Women should get a routine check in with their GYN, not a routine pelvic exam

I have been a gynecologist for over 20 years. Including residency I have been performing pelvic exams for over 26 years. I have done thousands of routine well-woman pelvic exams and thousands of exams for women with symptoms. While my personal n of 1 is certainly not research I have not once picked up a …

HPV vaccine over age 26 – is it worth it?

Currently the HPV (human papilloma virus) vaccines are approved in the United States up to the age of 26. This has nothing to do with safety but due to the fact that the studies submitted to the Food and Drug Administration (FDA) involved this age range. The HPV vaccines were primarily studied in women aged …

The HPV vaccine protects African American and white women equally from cancer

The Internet, or parts of it, claims the HPV vaccine is ineffective or less effective for African American women than for white women. This idea appears to have originated with Bustle and their take on a study that looked at HPV types in women undergoing testing of pre-cancers of the cervix. Drawing conclusions about the …

The importance of the HPV vaccine in one graphic. Really.

Here are the percentage of cancers (by site and sex) due to HPV 16/18 and 31/33/45/52/58 The older HPV vaccine covers HPV 16/18. The new 9 valent HPV vaccine protects against 16/18 as well as 31/33/45/52/58. The vaccines are highly effective and have already begun to reduce pre-cancerous lesions of the cervix. Current data indicates …

What if the HPV vaccine only lasts for 10 years?

Once of the concerns tossed around by critics of the HPV vaccine is the fear that it might only delay HPV infections. This was brought up by Dr. Harper on the infamous Katie Couric HPV episode, it’s also not an infrequent comment left on my blog, and of course it’s bandied about by a variety …

Dear Toronto Star, your Gardasil article isn’t about transparency

The title of the Toronto Star’s misleading front page article about vaccine safety has been changed. No longer is it “A Wonder drug’s dark side,” now it reads “Families seek more transparency on HPV vaccine.” They just don’t get it, do they? Here we have a vaccine that can protect from the virus that causes cervical cancer. …

7 questions the Toronto Star must answer about their Gardasil story

Mr. Cruickshank, Mr. Cooke, and Ms. English, I have many concerns about your article HPV Vaccine Gardasil has a dark side and request a response to these seven issues: 1. Mr. Cruickshank stated on CBC Radio As it Happens that “doctors” brought “virtually all of the anecdotes” of claimed vaccine injury to the Toronto Star. …

Is power morecellation during a hysterectomy really unsafe?

The Food and Drug Administration (FDA) released a statement about power morcellation during hysterectomy and myomectomy (surgery to remove uterine fibroids), raising concerns about these devices spreading unanticipated cancers. There have been several reports in the literature and the press alike of this happening and when it does it significantly worsens the prognosis.  The American Congress …

Cancer v. the Constitution

The patient in the emergency department smelled of advanced cancer. It is the smell of rotting flesh, but even more pungent. You only ever have to smell it once. She had been bleeding irregularly, but chalked it up to “the change.” Peri-menopausal hormonal mayhem is the most common cause of irregular vaginal bleeding, but unfortunately …