Re: Question about pap test frequency

From: Andrew Folley (agfolley@hotmail.com)
Fri Jan 26 06:18:43 2007


There is no age where one is released from pelvic exams. Pap smears as you know are a different entitiy. Unfortuantely the public associates them as one. A 57 year old woman or a 77 year old woman is still at risk for Ovarian and colo/rectal cancer and needs to be having pelvic exams on a regular basis. andrew

>From: Bernard Cristalli <bcrist@club.fr>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Question about pap test frequency
>Date: Fri, 26 Jan 2007 05:20:19 -0600
>
>An ovarian cancer is in no way a risk factor for cervical cancer.
>As a matter of fact if every Paps were normal it's possible to lighten the
>survey and it can be stopped after 65 yo.
>
>---
>Bernard Cristalli MD
>AIHP- ACCA
>CNGOF - AMACOG
>bcrist@club.fr
>
>Le 26 janv. 07 à 09:40, GIN11153@aol.com a écrit :
>
>>
>>A friend of mine is 57 and when she went for her annual physical, her NP
>>told her that she only needed a pelvic and pap every 2-3 years since
>>she's had more than 3 normal paps. Her aunt had ovarian cancer so I feel
>>that she'd be considered high risk for it also.
>>
>>I was under the opinion that these guidelines are for ages 20-50 but over
>>50, due to the higher incidence of uterine, cervical and ovarian cancer,
>>a woman in that age group needed a pelvic exam and pap test yearly.
>>
>>She told me that her old NP did it annually as well as a stool guiac
>>while examining her. This new NP gave her the take home stool test and
>>didn't do a pelvic. I tried to check the ACOG site for the guidelines but
>>their website is down for maintenance.
>>
>>I found this online to give to her to show she doesn't qualify at age 57:
>>
>>Pap Test Guidelines Revised
>>
>>The American Cancer Society has revised its guidelines on Pap tests,
>>recommending for the first time that women at low risk for cervical
>>cancer don't need them.
>>
>>The revisions are designed to spare women from unnecessary, invasive
>>medical procedures, according to an Associated Press report.
>>
>>The new guidelines say testing isn't needed for young women who are not
>>sexually active; women 70 or older who have had normal Pap tests in the
>>past; and women who have had hysterectomies for non- cancer-related
>>reasons. They also recommend that sexually active women begin getting Pap
>>tests within three years of the start of sexual activity, but no later
>>than age 21.
>>
>>Gail Neuman RNC CPHW SNP LNC
>>student nurse practitioner and student midwife
>>certified high risk OB/legal nurse consultant
>>Perinatal Nurse Associates
>>Notary Public/Certified Loan Signing Agent
>>PrePaid Legal Sales Associate
>>Santa Ana, CA
>

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