Breast Cancer Screening
Breast cancer is best treated at reputable centers with combined disciplines attending tumor boards and individualized for each patient’s needs.
Breast cancer is one of the most common types of cancer in women. One in eight women will develop breast cancer.
Ask us for guidance and recommendations.
Breast cancer does seem to have both genetic and hormonal risk factors:
- Genetic causes: Immediate family history increases your risk 2-3 times.
- Hormones: Extra exposure to estrogens after menopause if taken more than five continuous years
- Having first child after the age of 30.
- Earlier than age 12 onset of menarche
- Late menopause after the age of 55
- Abnormally short or long menstrual cycle.
- Increasing age over 50
- Being overweight
Warning signs of Breast Cancer:
- New lump in the breast or armpit
- Pain or tenderness in the breast
- Alteration of size or shape of the breast
- Alteration of the breast skin or in the nipple
- Itching or burning nipples, or ulceration of the nipples
- Abnormal bloody or clear discharge from the nipple
Do not use any center for imaging techniques, ask your physician for recommendation and follow up with your results and future appointments better pricing not always has reliable quality.
Diagnosing Breast Cancer
Visit us with any concern
0—More information is needed. You may need another mammogram before a score can be given.
1—Nothing abnormal is seen. You should continue to have routine screening.
2—Benign conditions, such as cysts, are seen. You should continue to have routine screening.
3—Something is seen that probably is not cancer. A repeat mammogram should be done within 6 months.
4—Something is seen that is suspicious for cancer. You may need to have a biopsy.
5—Something is seen that is highly suggestive of cancer. You will need to have a biopsy.
For women who are at average risk of breast cancer and who do not have symptoms, the following are suggested:
- Clinical breast exam every 1–3 years for women aged 25–39 years
- Clinical breast exam every year for women aged 40 years and older
If you are aged 40 years or older, you can start the conversation with these questions:
- What are my chances of having breast cancer?
- When should I start getting regular mammograms?
- How often should I get them?
- You can ask more specific questions based on your age. If you are aged 40–49 years:
- What are the pros and cons of getting mammograms before I turn 50?
- If you are aged 50–75 years:
- What are the pros and cons of getting mammograms every 2 years instead of every year?
- If you are older than 75 years:
- Do I need to keep having mammograms?
You and your ob-gyn or other health care professional should share information, talk about your wishes, and agree on when and how often you will have breast screening.
Pap smears are screening tests with lower cost, easy accessibility and compromised accuracy. It is imperative to discuss with your OB/GYN your risk factors, history and customize not standardize your examination.
Routine forms of Cervical cancer should be eliminated with routine & not excessive evaluations in my professional view.
Cervical cancer rarely presents with symptomatology unless advanced.
The cervix is the opening of the uterus, located at the top of the vagina. When the abnormal cells of the cervix begin to divide at an accelerated rate they will penetrate deeper into the layers of the cervix and spread to other tissues and organs.
Causes of Cervical Cancer:
The most causative etiology is the high-risk category types of human papillomavirus (HPV) which can also cause cancer in other parts of the body, including the anus, vagina, vulva, neck, and head.
These are some risk factors for HPV infection:
- Early initiation of sexual activity
- Multiple sexual partners
- Having a sexual partner, especially a male partner, who has multiple sexual partners
- History of dysplasia
Family history of cervical cancer
- Some sexually transmitted infections (ex: chlamydia)
- Mother who took DES (diethylstilbestrol) during her pregnancy with you
Some warning signs of cervical cancer include:
- Spotting or abnormal vaginal bleeding
- Heavy menstrual bleeding
- Bleeding after sex
- For a Pap test, the sample is examined to see if abnormal cells are present.
- For an HPV test, the sample is tested for the presence of 13–14 of the most common high-risk HPV types.
- Women aged 21–29 years should have a Pap test alone every 3 years. HPV testing is not recommended.
- Women aged 30–65 years should have a Pap test and an HPV test (co-testing) every 5 years (preferred). It also is acceptable to have a Pap test alone every 3 years.
- you do not have a history of moderate or severe abnormal cervical cells or cervical cancer, and
- you have had either three negative Pap test results in a row or two negative co-test results in a row within the past 10 years, with the most recent test performed within the past 5 years.
The endometrium (inside lining of the uterine cavity) responds to hormones by thickening in preparation for pregnancy. In absence of fertilization, it sloughs and becomes your period.
Endometrial tissue grows outside the uterine cavity, It can implant on the fallopian tubes, ovaries, the external surface of the uterus, the rectum, intestines, and urinary organs. The implants can become inflamed, irritated, and scarred. the adhesions can cause organs to stick together, which can be painful. Affecting around 10 percent of women in their childbearing years mostly diagnosed between the ages of 30-40.
Signs & Symptoms of Endometriosis:
- Chronic pelvic pain
- Heavy bleeding
- Painful intercourse
- Painful bowel movements or urination (if implants are affecting these organs)
- Laparoscopy & biopsy: Definite
- History & Exam plus Imaging: Suggestive
Endometriosis & treatment options:
- Hormonal Therapies: birth control pills, GnRH agonists, and progestin medications.
- Surgery & excision or fulguration: With fertility desires.
Executive Woman Exam
American Board Certified Consultant OB/GYN is trained to be primary gatekeepers for all women’s health issues, most like a subspecialist family practitioner with added skills in Obstetrics and Gynecologic procedures.
We recommend that women have their first well woman exam at age 21 or three years after beginning intercourse, whichever comes first.
Talk with your physician about your mental, sexual, reproductive, physical and specific medical conditions during annual exams expect:
- Contraception & Family planning
- OCP Choices
- Barrier techniques
- IUD types
- Family history
- Social changes(work, stresses, smoking, alcohol, drugs, and marital status)
- Your medications
- Sexual life desires and changes
- Bowel & bladder
- Mental well being or concerns
- Cancer screening9 Pap test, Breast exam and imaging, Colonoscopy)
- STD testing
- Hormonal changes
- Cardiac risk factors
- Blood test and vitamin checks
- Pelvic & Breast exams
- Pelvic Ultrasound
- Use the opportunity to prevent diseases and maintain your youth.