Girlfriend's guide to gynecology

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Dr. Geier talks about the latest in women's gynecology.

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Girlfriend's guide to gynecology

  1. 1. Girlfriend’s Guide to Gynecology, A Quick Update Christi Geier, M. D. Assistant Professor, MUSC East Cooper Women’s Center
  2. 2. New Pap Smear Guidelines <ul><li>Established Nov. 2009 </li></ul><ul><li>Delay first pap smear until age 21 </li></ul><ul><li>Age 21-30 screen every 2 years </li></ul><ul><li>Age 30 or older who have had 3 consecutive normal pap smears may be screened every 3 years </li></ul><ul><li>Stop pap smears age 65-70 if 3 or more normal pap smears in last ten years </li></ul><ul><li>Pap smears not needed if had total hysterectomy for non-cancerous reasons </li></ul><ul><li>Should still see physician yearly for annual breast and pelvic exam </li></ul>
  3. 3. HPV vaccine <ul><li>2 vaccines now currently available, Gardasil and Cervarix </li></ul><ul><li>Gardasil is indicated for girls and women age 9-26 for prevention of cervical,vulvar and vaginal cancers, and genital warts caused by HPV strains 6,11,16,18. </li></ul><ul><li>Gardasil also indicated for boys age 9-26 for prevention of genital warts </li></ul><ul><li>Cervarix is indicated for girls and women age 10-25 for prevention of HPV strain 16, and 18 only. </li></ul>
  4. 4. HPV Vaccine <ul><li>Both do not eliminate need for pap smears </li></ul><ul><li>Contraindications include hypersensitivity including severe allergic reactions to yeast or after a previous dose of vaccine </li></ul><ul><li>Side effects include headache, fever, nausea, dizziness, pain at the injection site, swelling, redness, itching and bruising </li></ul>
  5. 5. HPV Vaccine <ul><li>Administered 3 separate IM injections over a 6 month period </li></ul><ul><li>First dose followed by second dose 2 months after 1 st dose, and 3 rd dose 6 months after 1 st dose. </li></ul>
  6. 6. Mammogram Guidelines <ul><li>Controversial </li></ul><ul><li>American College of OB/GYN (ACOG) vs. U.S. Preventative Services Task Force (USPSTF) </li></ul>
  7. 7. Mammogram Guidelines <ul><li>USPSTF recommends against routine screening in women aged 40-49 </li></ul><ul><li>USPSTF recommends biennial screening MMGs for women aged 50-74 </li></ul><ul><li>USPSTF recommends against teaching self-breast exams </li></ul>
  8. 8. Mammogram guidelines <ul><li>ACOG recommends screening MMG every 1-2 years for women aged 40-49 </li></ul><ul><li>Screening MMG yearly for women age 50 or older </li></ul><ul><li>Breast self-exams </li></ul>
  9. 9. Urgent Reasons to See Your Gyn <ul><li>Bleeding in between your periods </li></ul><ul><li>Post-coital bleeding </li></ul><ul><li>Post-menopausal bleeding </li></ul><ul><li>Significant pelvic pain </li></ul><ul><li>Breast lump </li></ul>

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