Boca Raton Ob/Gyn Specialists - Dr. Bradley S. Douglas M.D., F.A.C.O.G.

08/25/2015

Certificate: Cynosure/Deka MonaLisa Touch Laser - Vaginal Health

08/17/2015

It's "OK" to talk about it.

08/17/2015

Painful in*******se (dyspareunia) Symptoms - Mayo Clinic
Comprehensive overview covers diagnosis, treatment of this sexual problem.
http://www.mayoclinic.org/…/pa…/basics/symptoms/con-20033293
MAYOCLINIC.ORG

08/17/2015

Dr. Douglas with over twenty-five years of experience in laser surgery is now performing the revolutionary painless 5 minute Mona Lisa Touch vaginal revitalization procedure in his office .The series of three safe fractional co2 laser treatments delivered in 90 day period remarkably relieves patients of painful in*******se , vaginally dryness , persistent vaginal irritation and recurrent bacterial vaginosis . Usually no recovery nor anesthesia is needed but two days of abstinence is recommended. Patients may drive home after the brief vaginal conditioning and otherwise continue with normal activity immediately.

08/17/2015

MonaLisa Touch is fast, simple and safe. It is an ideal treatment to promote a return to vaginal health.
Simple and Safe
* Three 5 minute treatments at 6 week intervals
* No anesthesia and virtually no pain
* In-office procedure
* Annual follow up treatment once a year

07/22/2015

Recognized as one of the "Top Doctors" listed in BocaNewsNow.com by Castle Connolly Medical Research LTD, a research firm specializing in providing consumers information about the nation's best doctors and hospitals . July 2015

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Research Group Names 62 Boca Regional Docs As “Top Docs”
by BocaNewsNow.com Staff • July 20, 2015 10:19 am

BOCA RATON, FL (BocaNewsNow.com) (From Boca Raton Regional Hospital) — Sixty-two physicians on the medical staff at Boca Raton Regional Hospital were listed as “Top Doctors” by Castle Connolly Medical Ltd., a research firm specializing in providing consumers with information about the nation’s best doctors and hospitals.

David J. Applebaum, MD Plastic Surgery

Michael S. Aronsohn, MD Otolaryngology

Thomas C. Bartzokis, MD Interventional Cardiology

Albert Begas, MD Hematology & Oncology

Marc Bergman, MD Orthopaedic Surgery

Brian A. Bernick, MD Obstetrics & Gynecology

Rafael C. Cabrera, MD Plastic Surgery

Julio V. Cardenas, MD Infectious Disease

Attica C. Chang, MD Dermatology

Paul Christakis, MD Pediatrics

Frank D. Cirisano, MD Gynecologic & Oncology

Andrea S. Colton, MD Dermatology

Joseph A. Colletta, MD Breast Surgery

Richard A. Conlen, MD Obstetrics & Gynecology

Bradley S. Douglas, MD Obstetrics & Gynecology

Merrill H. Epstein, MD Psychiatry

Lawrence M. Fiedler, MD Gastroenterology

Alan I. Freedman, MD Urology

Stuart A. Friedman, MD Allergy & Immunology

Michael A. Gleiber, MD Spine Surgery

Howard B. Goldman, MD Opthamology

David A. Gross, MD Psychiatry

Donald F. Heiman, MD Infectious Disease

James G. Houle, MD Otolaryngology

Stuart H. Isaacson, MD Neurology

Jared A. Jaffe, MD Nephrology

Robert Johr, MD Dermatology

Mitchell S. Karl, MD Cardiology

Cristina F. Keusch, MD Plastic Surgery

Alan J. Koletsky, MD Hematology & Oncology

Michael J. Krebsbach, MD Hand Surgery

Jan W. Kronish, MD Opthamology

Seba Krumholtz, MD Internal Medicine

Ira L. Lazar, MD Nephrology

David I. Levenson, MD Endocrinology

David I. Levey, MD Internal Medicine

Felice Levine, MD Internal Medicine

Richard A. Levine, MD Geriatric Medicine

Sara S. Levine, MD Pediatrics

Mark R. Licht, MD Urology

Jeffrey I. Miller, MD Urology

Robyn M. Moncrief, MD Breast Surgery

Vito C. Proscia, MD Gastroenterology

Mitchell K. Rauch, MD Urology

Harold Richter, MD Hematology & Oncology

Rolando F. Rodriguez, MD Endocrinology

Steven I. Rosenfeld, MD Opthamology

Mark H. Rubenstein, MD Interventional Cardiology

Joshua H. Rubin, MD Gastroenterology

Michael A. Schaffer, MD Neuro-opthamology

Jordan B. Schwartzberg, MD Dermatology

Jonathan I. Seckler, MD Interventional Cardiology

Ernesto I. Segal, MD Retina-Vitreous Surgery

Stephen J. Servoss, MD Interventional Cardiology

Neil S. Shachter, MD Cardiology

Jane D. Skelton, MD Hematology & Oncology

David A. Snyder, MD Opthamology

John M. Strasswimmer, MD Dermatology

Mark H. Weiner, MD Opthamology

Jerry R. Wexler, MD Pediatrics

Mark H. Widick, MD Otolaryngology

Kurt L. Wiese, MD Infectious Disease

The Castle Connolly selection process for the Top Doctors listing begins with peer recognition through surveys that are given out to thousands of physicians nationwide and other healthcare leaders. They are asked to identify who they believe are highly skilled, exceptional doctors. This peer-recommended list is then reviewed by Castle Connolly for standards, including medical education, training, hospital appointments, professional achievements and any disciplinary or malpractice history.

“Our commitment to clinical excellence at Boca Regional is evident throughout the whole medical staff, but these 62 physicians deserve the added praise that comes with such a notable accolade,” said Jerry J. Fedele, President and CEO of Boca Raton Regional Hospital. “It is strong testimony to the quantity and quality of clinical expertise we have at the hospital.”

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10/17/2012

07/17/2012

Early Pregnancy Folic Acid Supplements Reduce Autism Risk In Newborns
Editor's Choice
Academic Journal
Main Category: Pregnancy / Obstetrics
Also Included In: Autism; Pediatrics / Children's Health
Article Date: 18 Jun 2012 - 9:00 PDT


1 in 88 children born today will be diagnosed with an autism spectrum disorder, according to the U.S. Centers for Disease Control and Prevention. Now, researchers have found that women can reduce the risk of having a child with the neurodevelopmental disorder if they consume the recommended daily doses of folic acid (600 micrograms, or 0.6milligrams), the synthetic form of folate or vitamin B-9, during the first month of pregnancy.

Autism is characterized by communication deficits, impairments in social interaction, intellectual disability, and repetitive behaviors.

The study, conducted by researchers at UC Davis MIND institute and published in the American Journal of Clinical Nutrition, adds to the researchers' earlier work, which found women were less likely to have a child with autism if they consumed prenatal vitamins around the time of conception.

In this study, the team set out to determine if the protective effect in those supplements was folic acid. According to the findings, women who are trying to conceive a child or those who have already conceived should consider taking folic acid supplements.

The researchers discovered that women were less likely to have a child with autism if they consumed the recommended amount of folic acid during the first month of pregnancy, specifically, when the mother and/or her child had a specific genetic variant (MTHFR 677 C>T). This variant is associated with less efficient folate metabolism.

Lead study author Rebecca J. Schmidt, assistant professor of public health sciences in the UC Davis School of Medicine and a research with the UC Davis MIND institute, explained:


"This research is congruent with the findings of earlier studies that suggest that improved neurodevelopmental outcomes are associated with folic acid intake in early pregnancy. It further supports recommendations that women with any chance of becoming pregnant should consider consuming folic acid at levels of 600 micrograms or greater per day."


Irva Hertz-Picciotto, chief of the division of environmental and occupational health in the Department of Public Health Sciences and MIND Institute researcher said:


"What's reassuring here is knowing that, by taking specific action in terms of their intake of folic acid from food or supplements, women can reduce the risk of autism spectrum disorder in their future children."


According to the researchers, folic acid helps protect against problems with embryonic brain development by facilitating DNA methylation reactions that can change the way the genetic code is read. They state that adequate intake of methyl donors, such as folic acid, could be especially important during the time a women conceives.

The team examined data on 835 Northern California women who had children aged 2 to 5 years old with autism, developmental delay or typical development. All the mothers took part in the Childhood Autism Risk from Genetics and the Environment (CHARGE) study between 2003 and 2009.

The investigators evaluated the average amount of folic acid each woman consumed daily and the frequency of consumption. They gathered information from study participants 3 months before they became pregnant, and then again when they were pregnant.

They found that mothers of children with autism reported less folic acid intake during their first month of pregnancy than mothers of typically developing children, who reported more likely to meet intake recommendations.
Lower folic acid intake found among many pregnancies that resulted in offspring with developmental delay
Furthermore, study participants were less likely to have a child with autism if the amount of folic acid they consumed increased. During the three months before pregnancy, mothers of children with developmental delay tended to have lower estimated folic acid intake.

06/27/2012

In Some Postmenopausal Women, Low Vitamin D Levels Linked To Weight Gain
Main Category: Obesity / Weight Loss / Fitness
Also Included In: Women's Health / Gynecology; Nutrition / Diet
Article Date: 27 Jun 2012 - 0:00 PDT


Patient / Public:
Healthcare Prof:

Older women with insufficient levels of Vitamin D gained more weight than those with sufficient levels of the vitamin, according to a new study funded by the National Institutes of Health and published online in the Journal of Women's Health. The study of more than 4,600 women ages 65 and older found that over nearly five years, those with insufficient levels of Vitamin D in their blood gained about two pounds more than those with adequate levels of the vitamin.

"This is one of the first studies to show that women with low levels of Vitamin D gain more weight, and although it was only two pounds, over time that can add up," said study author Erin LeBlanc, MD, an endocrinologist and researcher at the Kaiser Permanente Center for Health Research in Portland, Oregon. "Nearly 80 percent of women in our study had insufficient levels of Vitamin D. A primary source of this important vitamin is sunlight, and as modern societies move indoors, continuous Vitamin D insufficiency may be contributing to chronic weight gain."

Vitamin D was in the news recently when a panel of primary care experts - the US Preventive Services Task Force - said healthy postmenopausal women may need higher doses of the vitamin to prevent fractures, and that there isn't enough evidence to recommend the supplements for younger people. Other expert groups, including The Endocrine Society, have a different take, saying many adults do need Vitamin D supplements to keep their bones healthy. 1

"Our study only shows an association between insufficient levels of Vitamin D and weight gain, we would need to do more studies before recommending the supplements to keep people from gaining weight," LeBlanc said. "Since there are so many conflicting recommendations about taking Vitamin D for any reason, it's best if patients get advice from their own health care provider."

She points out that this study was conducted among older women who, for the most part, were not trying to lose weight - though some of them did so as a natural result of aging. About 60 percent of the 4,659 women in the study remained at a stable weight (within 5 percent of their starting weight) over the 4.5-year study period, 27 percent lost more than 5 percent of their body weight, and 12 percent gained more than 5 percent of their body weight.

Most women in the study (78 percent) had less than 30 nanograms per millimeter (ng/ml) of Vitamin D in their blood - the level defined as sufficient by The Endocrine Society panel of experts who set clinical guidelines on Vitamin D deficiency. These women had higher baseline weight to begin with: 148.6 pounds, compared with 141.6 pounds for women whose Vitamin D levels were 30 ng/ml or above. Insufficient levels had no association with weight changes in the entire group of women, or in the group that lost weight. But in the group of 571 women who gained weight, those with insufficient Vitamin D levels gained more -18.5 pounds over five years - than women who had sufficient Vitamin D. The latter group gained 16.4 pounds over the same period.

06/19/2012

Incontinence 20 Years After Child Birth Three Times More Common After Vaginal Delivery

ScienceDaily (Mar. 25, 2012) — Women are nearly three times more likely to experience urinary incontinence for more than 10 years following a vaginal delivery rather than a caesarean section, finds new research at the Sahlgrenska Academy at the University of Gothenburg, Sweden.

Urinary incontinence (UI) is a common condition affecting adult women of all ages and can have a negative influence on quality of life.

This new study from the University of Gothenburg in Sweden looked at the prevalence and risk factors for UI 20 years after vaginal delivery (VD) or caesarean section (CS). The study included women who had only one child and assessed their prevalence of UI for less than five years, between 5-10 years and for more than 10 years.

Over six thousand women involved

The SWEPOP (Swedish pregnancy, obesity and pelvic floor) study was conducted in 2008 and data were obtained from the Medical Birth Register (MBR) for deliveries between 1985 and 1988. A questionnaire was sent to women and 6, 148 completed it answering questions on height, weight, urinary or a**l incontinence, ge***al prolapse, menstrual status, hysterectomy, the menopause and hormone treatment.

Prevalence of incontinence tripled

Overall, the prevalence of UI was considerably higher after a vaginal delivery (40.3%) compared to women who delivered by caesarean section (28.8%).

The study also found that the prevalence of UI for more than 10 years almost tripled after VD (10.1%) compared to women who had a CS (3.9%).

Overweight also a risk factor

In addition, the paper looks at the impact of BMI on UI. The risk increase of UI in obese women more than doubled in comparison to women with a normal BMI after VD and more than tripled after CS.

Many risk factors

Maria Gyhagen, Department of Obstetrics and Gynaecology, Sahlgrenska Academy, University of Gothenburg, Sweden and co-author of the paper said:

"In conclusion, the risk of developing urinary incontinence was higher 20 years after a vaginal delivery compared to a caesarean section.

"There are many factors affecting urinary incontinence but obesity and aging as well as obstetric trauma during childbirth are known to be three of the most important risk factors."

Affects daily life

BJOG Deputy Editor-in-Chief, Pierre Martin-Hirsch, added: "Urinary incontinence affects many women and can have a big impact on day to day life.

"However, women need to look at all the information when deciding on mode of delivery as despite vaginal delivery and BMI being linked to urinary incontinence, caesarean section involves its own risks."