Re: Question about pap test frequency
From: Andrew Folley (agfolley@hotmail.com)
Fri Jan 26 13:29:00 2007
In terms of cost effectiveness however, there is nothing better.
>From: evsono@pipeline.com (art fougner, md)
>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 09:32:06 -0600
>
>The performance of a bimanual exam as a cancer screening tool is
>abysmally insensitive. If the bimanual were subjected to the same
>scrutiny as pap smears, I doubt it would pass muster.
>
>Of course, that's just my opinion - I could be wrong.
>
>Art
>
>At Fri, 26 Jan 2007, Andrew Folley wrote:
> >
> >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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> >--
> >_________________________________________________________________
> >http://celebrities.live.com&ocid=T001MSN30A0701
> >_________________________________________________________________
> >
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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