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Dr. David Holtz

Gynecologic Oncology
Wynnewood, PA
24 years experience male

Locations

Office

Wynnewood, PA

Address

100 E. Lancaster Ave, Suite 661, Wynnewood, PA
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Gynecologic Oncology

Obstetrics and Gynecology

Languages spoken

English

Doctor Q&A

39 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Very common: Two answers: either a new and transient hpv infection or re-imergence of an old infection that has not yet caused the cervical cells to change. You sh... Read More
A 40-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Depends on results: The asccp has guidelines available on line. If the biopsy was a high-grade lesion (cin2 or 3), then you would need a bigger biopsy. Usually, at least ... Read More
A 36-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Yes: Paps are for the detection of precursors to cervical cancer. While cervical cancer is caused by a virus most of the time, that virus (hpv) is very com... Read More
A male asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
No, : No, pregnancy tests are accurrate and can pick up a pregnancy as soon as the first missed period, when the uterus is the size of a pear. This sounds ... Read More
A 33-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Follicle: Every month your ovary makes 5-15 small cysts and one eventually enlarges to 1-2 cm, eventually releasing a single cell 'egg'. If your cyst does not g... Read More
A 54-year-old male asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Talk with your doc: As a gynecologic oncologist, i don't usually follow estrogen as a marker for ovarian cancer. There are a few rare exceptions (granulosa cell tumors). ... Read More
A 50-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Yes: About 10% of women with hysterectomy with the ovaries left in will need surgery for cysts (not always cancer). Ultrasound and MRI are best for evaluat... Read More
A 46-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Yes, but...: It is possible, but your doctor is more likely to just get blood. Discuss it with your doctor.
A 42-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
No: Two months after what? If you had a pap that was normal, but was positive for hpv, the current guidelines call for a repeat in 1 year. Your risk of a ... Read More
A 36-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Contact your doc: Pain after surgery is common, although it should improve a little every day. How long has it been since surgery? If it is within 4-6 weeks of surgery,... Read More
A 48-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
A : A cyst in the same breast as your original cancer is of some concern. Are you still in contact with your original breast surgeon? Have you had any oth... Read More
A 20-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Not really: There is a microscopic layer of skin that forms over incisions in 48 hours. I'd check your doctor's instructions, but usually you can open them to the... Read More
A 30-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Depends: I can usually feel ovaries 5 cm in diameter and bigger easily on bimanual exam. At your age, the most likely diagnoses are all benign, but get the ult... Read More
A 44-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Complex question: This depends on many details: your medical history, your family history, features seen on ultrasound like size, solid areas, blood flow. Most cysts at... Read More
A 46-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
No: Outside labs like quest and labcorp can take over a week to return results of biopsies.
A 21-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
See your gynecologis: There are several causes of itchiness. A common cause is irritation from new soaps or condoms. Yeast infections can also cause itiching and skin break... Read More
A 33-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Need to see Gyn: The short answer is the pap may have nothing to do with the bleeding. Even on birth control, pregnancy happens. A urine pregnancy test is a good idea.... Read More
A 46-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
You can't: You can not. There is no way to find out when someone was exposed to hpv.
A 47-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Using all info: Ultrasound is usually the first step for determining if ovaries have cysts that are concerning. Radiologist look at features like size, solid areas, "... Read More
A 43-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Likely unrelated: Sorry you are in pain. Paps usually cause short term cramping. You may have a follicle (cysts that form every month on the ovary) that ruptured, which... Read More
A 35-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Yes: Yes. If you have worsening pain or fevers, call your doctor.
A 34-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Don't worry: Sex does not effect modern paps. If you use lubricants, that can theoretically effect it. Certainly, 24 hours is more than enough.
A 42-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Two problems: There are rare ovarian tumors that make estrogen, but it sounds like you have two problems. Make sure to see your gynecologist for an exam and a pap s... Read More
A 47-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
No: No. If you have a concern about sexually transmitted infections, you need to see your gynecologist and express your concerns. While there are methods ... Read More
A 34-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Oh, yes: Hpv is common. In several studies of college-age women, 20% were hpv positive at the beginning of the study and another 40% became positive in the nex... Read More
A 33-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
It should be for you: Current guidelines for women 30-65 are either pap alone every 3 years, or pap plus hpv every 5 years. I favor co-testing with pap and hpv since the ri... Read More
A 30-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Yes!: Yes! most simple cysts in young women will spontaneously go away without any problems. You should follow up with your gynecologist as directed. Usuall... Read More
A 48-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Size not only factor: It depends. For women having regular cycles, up to 8 cm may be normal if it is a simple pocket of fluid. If you have a cyst, your should contact your ... Read More
A 20-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
See your gynecologis: There are several skin conditions that can effect the vulva. They may be as simple as nevi (freckles) that you haven't noticed. If raised, they may be... Read More
A 23-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
See pediatrician: The quick answer is that you should already have a newborn appointment with a pediatrician. Have you had any contact with someone with chicken pox? It... Read More
A 26-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Hard to tell: You should see a gynecologist. This may be "anovulatory" bleeding where the normal signals from ovary to the hypothalamus are allignment.
A 30-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
See a gynecologist: I would see a doctor to make sure this is not bacterial vaginosis or trichomonas.
A 21-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Could be pregnant: Urine pregancy test don't always pick up pregancies until 4 weeks after the missed period. Your gynecologist can get a serum blood HCG that will detec... Read More
A 42-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
No: Paps are important in detecting cervical cancer and precancer. It does not effect pregnancy.
A 17-year-old female asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Can happen: Depo-provera is a long-acting hormone that slows then stops the growth of the lining of the uterus (which gets shead when you have your menses). After... Read More
A 44-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
You need to followup: There are several categories of abnormal paps. Each category has a risk of finding a cervical precancer or (more rarely) a cancer associated with it. ... Read More
A 30-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Great question: Uptodate has some information: http://www.Uptodate.Com/contents/radical-hysterectomy#patient_information you should have a conversation with your ... Read More
A 45-year-old member asked:
Dr. David Holtz
Gynecologic Oncology 24 years experience
Untreated or treated: Untreated genital warts take a variable amount of time to go away, with only 20-30% gone by 3 months. Treatment also takes a variable about of time: u... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
108
Thank you notes
Feb 7, 2013
Very talented surgeon.
HealthTap member
Mar 30, 2015
Dr. Holtz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Holtz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Althought , not HPV becaus i have never been sexually active ... Virgin
HealthTap member
Dr has it but no call from him. hoping no cancer biospy nml last yr
HealthTap member
Thank you, your answer was very helpful! Thank you for your help.

Education & Training

Medical/Graduate school

Jefferson Medical College of Thomas Jefferson University
Graduated 1998MD

Residency

Thomas Jefferson University Hospital

Awards

Top Docs, Philadelphia Magazine
Top Gynecologic Oncologist , Third Place, National - Winter
2013
Top Gynecologic Oncologist , Second Place, National - Summer
2013

Affiliations

American Congress of Obstetricians and Gynecologists
Society of Gynecologic Oncologists
American Association of Gynecologic Laparoscopists
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less