Estrogen Matters

Hormone replacement therapy in menopause is safer and more effective than we have been led to believe. A new book examines the evidence and sets the record straight. Estrogen replacement stops hot flashes cold and is a veritable Fountain of Youth. Estrogen replacement is dangerous: it kills women. It prevents heart disease. It causes heart

The Care and Feeding of the Vagina

The status of women in our society continues to improve. As the cigarette commercial says, “You’ve come a long way, baby.” Indeed, it seems we now have Equal Opportunity Quackery. Sex sells. It’s always been a popular target for quackery, but the quackery used to be directed mainly at men. In the early 20thcentury, Dr.

For Peat’s Sake! Naturopath Promotes Peat Bras and Tampons

This ND recommends peat therapy, including peat baths, peat tampons, and peat bras, for a variety of conditions including infertility and HPV infections. The evidence is lacking. Last week I reviewed the major naturopathy textbook. It mentioned a therapy I was not familiar with: peat therapy. I wanted to know more about the rationale for

Questioning the Annual Pelvic Exam

A new article in the Journal of Women’s Health by Westhoff, Jones, and Guiahi asks “Do New Guidelines and Technology Make the Routine Pelvic Examination Obsolete?” The pelvic exam consists of two main components: the insertion of a speculum to visualize the cervix and the bimanual exam where the practitioner inserts two fingers into the

Efforts to Encourage Breastfeeding Like the Baby-Friendly Hospital Initiative (BFHI) May Have Unintended Consequences

A brand-new newborn. According to BFHI rules, he must maintain continuous skin contact with Mom and start breastfeeding within the first half hour. “Breast is best,” but current efforts to increase the rate of breastfeeding may be misguided. A recent article in JAMA Pediatrics by pediatricians Joel Bass, Tina Gartley, and Ronald Kleinman is titled “Unintended Consequences of

The Business of Being Born

One of our readers asked for a critique of the movie “The Business of Being Born.” I guess my sex and specialty make me the best qualified to comment. I delivered over 200 babies as a family physician. I had two babies of my own (at age 37 and 39), one with intervention (forceps) and

Chiropractor Lost His License; Patient Lost Her Uterus

Flowers of the bloodroot plant, Sanguinaria canadensis. You’re welcome, I could have used a very different image (warning: gross bordering on horrifying). I first wrote about escharotic treatment for cervical dysplasia in 2015. A caustic substance is applied to the cervix. This produces an uncontrolled chemical burn and the dead tissue sloughs off, hopefully taking

Chiropractor Disregards the Loss of His License, Continues to Treat Patients with Cervical Dysplasia with Escharotics

A chiropractor who bills himself as a chiropractic gynecologist has continued to practice after his license was permanently revoked. Among his many questionable practices, Nick LeRoy is treating cervical dysplasia with escharotics, a potentially dangerous replacement for conventional treatments to prevent cancer.Chiropractor Nicholas LeRoy has a funny idea of what “closed” means. Note: This article has

The Hormone Myth

“Mary is really bitchy today; she must be on the rag.” Comments like this are all too common, and are misguided. In her new book, Robyn Stein DeLuca dispels the myths about how hormones affect women’s moods and mental health, myths that have contributed to unequal treatment of women. Junk science supported the myths; good

Chiropractic Gynecologist Offers Dangerous Treatments and Misinformation

Over a year ago I wrote about escharotic treatments for cervical dysplasia. It is offered not by MD gynecologists but by chiropractors and naturopaths, along with inconsistent and unproven diet recommendations and supplements. A corrosive agent similar to “black salve” is applied repeatedly to the cervix; it works by destroying tissue. There are no controlled studies