Still More News About Maintaining Bone Health

Still More News About Maintaining Bone Health In today's New York Times Science Section, there is an excellent article by Jane Brody entitled, "Fear of Drugs' Hazards may Put Bones at Risk." She reiterates a problem that I have seen evolving in clinical practice over the last several years. As the reimbursement for performing bone density tests had gotten so low that many facilities (including ours) could not stay open without losing money, the number of bone density tests being ordered natio...


Researchers track an unlikely culprit in weight gain

In yesterday's New York Times Science section, there was an extremely interesting article entitled, "Researchers Track an Unlikely Culprit in Weight Gain." It has been known for quite some time that estrogen promotes lean body mass. At menopause, women no longer make estrogen and many patients experience the upsetting phenomenon of developing redistribution of weight to the abdomen; in medical terms known as "centripetal adiposity," or what it says in the article, turning women from "pears" to "...


Calcium and Atherosclerosis

  This is the current issue of the journal OBG Management and, as you can see, the cover story is by Dr. Goldstein. It is an update in bone health specifically addressing calcium supplements and their role in cardiovascular disease. In 2001 a National Institutes of Health (NIH) consensus panel on osteoporosis concluded that calcium intake is indeed crucial to maintain bone mass and should be maintained at 1,000-1,500 mg/day in older adults. That panel felt that the majority of old...


Dr. Goldstein receives Prestigious Clarkson Award

Dr. Goldstein is the recipient of the North American Menopause Society's 2016 Thomas B. Clarkson Award. The award is for life time achievement in menopause research and is mainly related to his work in transvaginal ultrasound and SERMs (the estrogen alternative). Click on the link below to view the Society's announcement of their awards. NAMS Prestigious Thomas B Clarkson Award ...


Improving Sexual Comfort in Menopausal Patients

03/05/2013 This past week there has been a lot of news emanating from the FDA that concerns menopausal and perimenopausal women.  I would like to share some of this with you. A week ago the FDA, without using an Advisory Panel of outside experts, approved Ophena (generic name Ospemifene) for “treatment of moderate to severe dyspareunia (medical term for painful intercourse) a symptom of vulvar and vaginal atrophy due to menopause (the vaginal changes seen with no more estrogen production)...


Osteoporosis

An article on the front page of the New York Times was entitled “FDA is Wary of Lengthy Use of Bone Drugs”. Many of my patients or else members of their family may be taking medication to help reduce osteoporotic fracture. Some of these women are on drugs mentioned in this article and other women are not. Such information may be confusing and frightening to many patients and so I believe it is worthy of discussion in this space. (more…)...


Calcium & Vitamin D

Recently, there has been a lot of medical attention vis-a-vis calcium, and to a lesser extent, Vitamin D.  Many patients are confused, hence this post.  Make no mistake – calcium and vitamin D are crucial for healthy bone.  The current recommendation is for 1000mg of elemental Calcium for women up to age 50 and 1200 mg for women above age 50.  I have been telling my patients for years that you are best off getting your calcium from diet.  Some evidence suggest that calcium supplements may...