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  • The well-woman visit includes:

    • Screening, preventive care, age & risk based

    • Evaluation and counseling of co-morbid conditions 

    • Immunizations based on age and risk factors.

  • Services and scope of managements and screening may differ for each person based on their overall scope of health.

  • A thorough history and physical examination is one of the most important aspects of the well-woman visit.



Q: What is a pap smear?

A pap smear is a quick and simple test performed during a pelvic exam to screen for cervical cancer. It involves collecting cells from the cervix to check for any abnormalities or signs of pre-cancerous or cancerous changes. This screening procedure is an important part of women's preventive healthcare.

Q: When to start obtaining a pap smear?

Pap smears are typically recommended to start at the age of 21 for most women. It is important to schedule your first pap smear around this age to ensure early detection of any potential cervical abnormalities or signs of cervical cancer. 

Q: What is a mammogram?

A mammogram is a specialized x-ray of the breast used for breast cancer screening. It helps detect early signs of breast cancer, such as lumps or abnormalities, even before they can be felt. Regular mammograms are an essential part of women's preventive healthcare.

Cervical Cancer Guidelines:

  1. Age 21 to 29: It is recommended to start pap smears at age 21 and have them repeated every three years.

  2. Age 30 to 65: Women can undergo pap smears every three years or choose to have a pap smear combined with human papillomavirus (HPV) testing every five years. This co-testing approach is often recommended.

  3. Age 65 and older: In certain cases, if a woman has had regular pap smears with consistently normal results, she may no longer need to undergo pap smears. However, it is important to discuss this with a healthcare provider.

  4. High-risk factors: Women with certain risk factors, such as a weakened immune system or a history of cervical abnormalities, may require more frequent or specialized testing. Consultation with a healthcare provider is crucial for personalized recommendations.

Breast Cancer Screening Guidelines

  1. Age 40 to 49: It is generally suggested to discuss the benefits and risks of breast cancer screening with your healthcare provider and make an informed decision about when to start screening. Some organizations recommend starting mammograms at age 40, while others recommend initiating discussions about screening at this age.

  2. Age 50 to 74: It is typically recommended to have regular mammograms every two years during this age range. However, the frequency and duration of screening may vary based on individual risk factors and preferences. Again, it's important to consult with a healthcare provider for personalized recommendations.

  3. Age 75 and older: The decision to continue breast cancer screening in this age group should be based on individual circumstances and discussions with a healthcare provider.

Colon Cancer Guidelines

  1. Average risk individuals: Screening for colon cancer generally begins at age 45-50 for average-risk individuals.

  2. Preferred methods: Colonoscopy every 10 years is the most common and recommended screening method. Other options include stool-based tests (such as FIT or FIT-DNA) every 1-3 years or CT colonography (virtual colonoscopy) every 5 years.

  3. High-risk individuals: Those with a family history of colon cancer or certain genetic conditions may require earlier or more frequent screening.

  4. Continued screening: Regular screening is usually recommended until age 75-85, depending on individual circumstances and overall health.

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