66 March 2016 NJMONTHLY.COM
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metabolism to better utilize caloric intake and help people
return to a healthy body composition.
Q: How does weight affect fertility?
A: There is a direct correlation between weight and a
woman’s ability to get pregnant. Many of our patients have
given up on ever conceiving, so they often don’t take our
advice to use birth control after surgery. But four or five
months later when they’ve lost 50 or 60 pounds, women are
getting pregnant and they’re thrilled. Ideally, women should
wait two years.
CAROLINE A. GLICKSMAN, MD
Dr. Caroline Glicksman, plastic and reconstructive
Q: Are there new
options for body con-
touring in 2016?
A: The first steps to
reshaping your body
are a healthy diet and
plenty of exercise. But
really changing those
areas of stubborn fat,
excess skin, or cel-lulite may require the
skill of a well-trained
whether a patient
will benefit from the
newer noninvasive fat
removal systems versus traditional liposuction or a tummy
tuck requires the training and expertise of a surgeon who has
the ability to do all three.
Q: What’s important to know before going for a consul-
A: Patients should go into their consultation educated
about the differences between liposuction, surgical skin
removal and CoolSculpting®. Liposuction offers almost
immediate, dramatic results, but usually requires anesthesia,
compression garments and recovery. Surgery is reserved for
areas of excess skin that will not respond to other methods.
CoolSculpting can produce a noticeable, permanent improvement, but the effects are more gradual. I recommend seeking
out a board-certified plastic surgeon who will perform an
assessment with honesty and experience.
SAINT PETER’S UNIVERSITY HOSPITAL
of gynecologic oncology
Q: What is the most
common cancer diagnosis you see in the
practice of gynecologic
A: Endometrial cancer (cancer of the uterine lining) is the most
common type of female
genital tract cancer,
occurring in about 2. 6
percent of U.S. women
during their lifetime. Fortunately, the majority of cases ( 72 percent) are diagnosed in stage 1 (early stage) when prognosis is
Q: Is obesity a risk factor for endometrial cancer?
A: Obesity is linked to numerous adverse health consequences, including endometrial cancer. Doctors of all specialties are
obligated to encourage and assist overweight and obese patients
to try to reach a healthier
Q: What are the
symptoms of endome-
A: Approximately 99
percent of women with
this disease present with
or vaginal discharge.
Most cases occur in postmenopausal women, but 14 percent of
women with endometrial cancer are premenopausal and 4 percent are younger than 40.
Q: How is this cancer treated?
A: Endometrial cancer is surgically treated with removal of
the uterus, cervix, ovaries and tubes, and pelvic (and in some
cases para-aortic) lymph nodes. In many cases, the surgery is
performed via minimally invasive techniques, either with conventional laparoscopy or robot-assisted laparoscopic surgery.
This greatly reduces incisional complications, pain and the
length of a hospital stay. Younger women with early-stage endo-
“Obese women have a
two to five times greater
risk of developing endometrial cancer compared with nonobese
—Dr. Marie Welshinger
Caroline A. Glicksman, MD, FACS.
Marie Welshinger, MD.