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Home > Gynecology

The Annual Well Woman Exam

March 27, 2015 by fcadmin

The well woman annual exam  The annual well women exam is a fundamental part of the women’s          health.

    Well women exam aids in identifying medical problems, recognizing certain risk factors for  specific diseases, and promoting healthy life style and preventative screenings.

Almost all insurance companies cover the cost of the annual exam without co-pays or deductibles. Women ages 21 and older are recommended to have pap smear  test  yearly. The best time for the annual exam is the week after your period ends. Pap smear cannot be obtained if you are menstruating. It is also recommended not to  have  intercourse or use vaginal creams 24-48 hours before your visit.

 

The annual well women exam is composed of:

 

  • Obtaining the patient’s vital signs (height, weight, BMI, blood pressure)
  • Updating the patient’s health history. (You will be asked about your illnesses, surgeries, allergies, medications, hospitalizations, family history, contraceptive history, the last time you had pap smear and mammogram, the first day of your last period and any complaints you have at the time of the visit)
  • Obtaining a urine specimen and urine dipstick test (Your urine will be tested for the presence of glucose, nitrite, albumin, blood, leukocytes, urobilinogen, pH, and specific gravity)
  • Clinical breast exam
  • Obtaining pap smear and HPV
  • Pelvic exam to examine the uterus and ovaries internally and abdominal exam if indicated
  • Counseling specific to patient needs such as birth control, protection from STD’s, menopause etc.

 

The Pap smear test is done to detect any abnormal cervical cells. If the result comes positive, it does not mean that you definitely have cervical cancer. If the result is abnormal, the physician may want to perform colposcopy or repeat the pap smear. Colposcope is a special magnifying device helps the physician to observe the cervix closely. A small tissue sample (biopsy) is taken from the cervix if the physician identifies any abnormality.

If your physician feels any lumps or abnormality during the clinical breast exam, he may order mammogram or breast ultrasound. Patients ages 40 and over will be prescribed a baseline mammogram.

Preventative screenings are very important for early detection. Health problems that are caught early can be treated more effectively. Schedule your annual visit with your gynecologist to ensure your physical and reproductive well being.

For more information obout the annual well women exam please log on to http://www.acog.org/-/media/Departments/Annual-Womens-Health-Care/PrimaryAndPreventiveCare.pdf

Filed Under: Gynecology

Human Papilloma Virus (HPV)

February 2, 2015 by Yasemin

 

Human Papilloma Virus (HPV) Human Papilloma Virus HPV

HPV is short for human papilloma virus and is consistent of more than 150 related viruses.

The most important step is that we inform you about HPV.

  • Men and Women?
  • Yes! Both men and women are equally susceptible to HPV. Nearly half of sexually active beings will be exposed to this virus at least once in their lifetime.
  • High Risk vs Low Risk
  • One detection of having Low Risk HPV, for both genders, would be genital warts. Most of the time the body clears itself of the virus and there’s no chronic damage. High Risk HPV, although most of the time it can lead to cancer, may not show any evidence at all of having it. In males, this can lead to cancer of the genitals, anus, or rectum. In females, this can lead to cervical cancer. It is very important that you give every attempt to prevent the transmission of HPV so that you and your sex partner, whether male or female, have one less cancer to worry about.
  • Transmission
  • Whether you are practicing vaginal or oral sex, the human papilloma virus can be spread through contact from infected genital skin, body fluids, and mucous membranes.

The next step should be to help prevent HPV from being spread or transmitted.

  • Testing
  • Visual Exam:to check for warts
  • PAP Smear: to sample cells taken from the cervix or vagina and analyze those cells to detect cancer or the chance of having cancer.
  • There are two HPV vaccines
  • Gardisil
  • It is suggested that this vaccine be distributed at menarche, and/or before sexual activity, and/or before exposure.
  • Cervarix
  • It is suggested to distribute between the age of menarche and no later than 25 years of age.
  • How does the vaccine help me
  1. Protects against genital warts
  2. Protects against most cervical and genital cancers
  • You should ask your doctor which vaccine is right for you.

Here are some tips so you can possibly put a stop to being diagnosed with HPV.

  • avoid having sex at an early age
  • avoid having multiple sex partners
  • avoid any sex partners who you think might have had multiple sex partners

 

For more information visit http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Human-Papillomavirus-Vaccination

 

 

 

 

Filed Under: Sexually Transmitted Disease Tagged With: ASCUS, cervical cancer, gardasil, genital cancers, genital warts, High Risk HPV, HPV types, hpv vaccine, human papillomavirus (hpv), LSIL

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