Lansdale: (215) 368-1950 | Blue Bell: (267) 460-8802 | 1000 Walnut Street Suite 122, Lansdale PA 19446    
Center for Women's Health of Lansdale Center for Women's Health of Lansdale Center for Women's Health of Lansdale Center for Women's Health of Lansdale

Services Offered

Specialty Services Offered

Medical Practitioners

ARTICLES

Pap Smear Guidelines

Teen First Visit Cervical cancer is a preventable gynecologic cancer. Pap smear (Pap test) is a screening test that looks for pre cancer and/or cancer of the cervix. For the last sixty years it was recommended at women receive pap smears annually, beginning within three years of first sexual activity. New national guidelines have changed these recommendations dramatically. This is due to the event of 1. Liquid based pap tests, and 2. HPV test. HPV( Human Papilloma Virus) this can cause pre-cancerous cell changes.

As of 2012, both the United States preventive services task force (USPSTF) and American Cancer Society (ACS) introduced new guidelines focused on 1. The age to begin screening, 2. Frequency of screening, 3. The age to stop screening and 4. Testing for HPV.

  • They now recommend testing every three years for most women between 21-65 years of age. Regardless of sexual history. Routine testing for women outside this age range is no longer recommended. Additionally, the option of 5 year screening intervals for women 30-65 years of age when screened with combination of Pap Test with HPV test is also acceptable.
  • HPV screening under the age of 30 is not recommended. Since most women under the age of 30 exposed to the virus will eventually eliminate the virus without any intervention.
  • These recommendations focused on the effectiveness of testing to reduce cancer deaths vs. potential harms that can result from screening. Frequent Pap smear screening can result in false positive results. This could sometimes lean into painful biopsies and possible future pregnancy complications. Research found that less frequent testing produces the same efficacy in reducing cancer deaths, but reduces the potential harm of false positive results. The task force recommendations apply only the healthy women.

Certain risk factors may encourage a doctor to recommend Pap smears outside of these guidelines. More frequent testing may be requested due to a diagnosis of cervical cancer, cervical pre- cancer or dysplasia, exposure to diethylstilbestrol (DES) before birth, HIV infection, weaken immune system due to organ transplant, Chemo therapy or chronic steroid use. Your physician may discuss frequency of screening and/or stopping screening depending on your personal history.

The doctor may recommend ending Pap smear testing after a total hysterectomy if the hysterectomy was done for benign conditions and if the previous Pap smears were within normal limits. The only cancer that a Pap smear screens for is Cervical Cancer. It does not screen for ovarian, uterine, vaginal and/or vulvar cancers. Any signs or symptoms that are unusual should be brought to your physician's attention.

From the desk of Dr. Dipti Shah-Parikh. This content is licensed to CFWH provided by Info724 Ltd. and none of this content can be reproduced, sold, or distributed in any form without permission. Please contact us with any questions at info@lansdalewomenshealth.com.

Click here to download this article via a PDF file.



The First "Gynecologic" Appointment for a Teen

Teen First Visit The right time for a Teen's first Gynecologist appointment could be upon you, keeping in mind that the best approach to upholding good health is being proactive. If a Teen is experiencing something out of the ordinary such as severe cramps, issues with a period, unusual discharge, or if the Teen becomes sexually active, it is important to come in for the first Gynecologic appointment as soon as possible. Guidelines by the American College of Obstetricians and Gynecologists mentions girls having their first Gynecologic appointment between the ages of 13 and 15 years old, even if it's only an introduction with the doctor. As a young woman, the latest you should schedule your first visit is by twenty-one years of age.

It's normal to be a little worried about your first Ob-Gyn visit. You can do something about that anxiety though, simply by learning about your appointment in advance and knowing what to expect. Also, you may want to choose whether your first appointment should be with a female doctor or a male doctor - whoever makes you feel most comfortable. As you learn more about us as your Ob-Gyn practice, you will begin to feel less uncertain and even more comfortable. You can also take comfort in knowing that your Gynecologic visit is a natural time for you to learn more about your body and to take more control of your own health.

Your first visit is very important for several reasons. First of all, you'll be able to learn substantially about the health of your reproductive system and being prepared with questions is a great way to accomplish that. You may also be making your first appointment for preventative reasons with regard to pregnancy, STDs (sexually-transmitted-diseases), or to stay physically fit at a healthy weight. In some cases, you will be visiting the doctor to figure out what is going on with your body along with a course of treatment for a certain issue or a problem you are having.

In a typical appointment, there will a discussion about your menstrual cycle and how it affects your life, school, and other activities. Your appointment may also include a standard exam and a conversation about your breasts, the thyroid, your heart and lungs, as well as your stomach area. In some cases you will want to know more about a problem you have been experiencing such as severe cramps, for which a pelvic ultra-sound could be helpful while a physical exam may not be necessary. If you have other symptoms such as a feeling of pain, issues with your period - for example missing one or an unusual pattern, an unusual discharge, or perhaps an unexpected color or texture, it will be in your interest to diagnose the cause. It's important to find out if there is an infection somewhere or if there is something affecting how you have been developing physically. If you are experiencing an issue or if you have been sexually active, then there will be a physical exam of your pelvic area - but rest assured that this is very normal and will take only a few moments.

Confidentiality is very important in your Gynecologic appointments. You can feel confident in this new relationship and for that reason you should speak openly with your doctor or nurse practitioner - especially because your health is between you and the doctor or nurse practitioner, and not with your parents or guardian in the middle. This is the start of a really important relationship in your life as a young woman, since it's time to create a pattern of looking out for your health - and what better way to do so than to start a trusting relationship with your Gynecologist or nurse practitioner.

This article is provided as informational and not intended to be a substitute for professional medical advice. Only your doctor is qualified to diagnose and treat your symptoms, so please be sure to contact us at the Center for Women's Health about the latest treatment options and how to work together for your success. You may contact CFWH with any questions, concerns, or to make an appointment by email at info@lansdalewomenshealth.com.

From the desk of Dr. Melody Reynolds. This content is licensed to CFWH provided by Info724 Ltd. and none of this content can be reproduced, sold, or distributed in any form without permission. Please contact us with any questions at info@lansdalewomenshealth.com.

Click here to download this article via a PDF file.



Advancements in Pelvic Reconstructive Surgery Can Be Life Changing

Pelvic Reconstructive Surgery You may have finally "just learned to live with" troubling pelvic symptoms ranging from moderate to extreme which - in all cases - prevent you from leading a full and active life. You may even be blocked from experiencing sexual intimacy. It's time to re-evaluate your circumstances because you now may be a candidate for advanced treatment options which can solve these problems and restore a high quality of life.

You may even be quietly suffering from symptoms such as incontinence or extreme discomfort and simply embarrassed to mention it. Many women have resigned themselves to accepting the situation and have given up on healthful mid-life pursuits such as running or pursuing a dream like completing a triathlon. You are not alone. There are many women of all ages ranging from 30 year olds up through women in their 80's who are affected by similar circumstances.

Over the course of your life as a woman, you experience a wide range of body changes including the physical stress of pregnancy, childbirth, and in some cases the impact of previous gynecologic surgeries such as a hysterectomy. These and other physical pressures have had an impact on your natural pelvic structures and can cause a variety of symptoms such as urinary incontinence, frequent constipation, a feeling of vaginal fullness, or pelvic organ prolapse.

You may not realize that recent advancements in the field of pelvic reconstructive surgery can be completely life changing for you - no matter how old you are currently. You may be familiar with standard laparoscopic surgery which has been less invasive than conventional abdominal or pelvic surgery. But the latest advancements go much further than the standard scope approach, allowing laparoscopic surgery to be performed through a single port instead of multiple ports. This single-site surgical approach is even less invasive than in recent years and is sometimes called "LESS" which is an abbreviation for Laparo-Endoscopic- Single-Site. There have also been improvements in mesh augmentation and in port technology supporting the use of these instruments. These advancements enable a great degree of precision and versatility in the hands of a capable surgeon.

Such a minimally invasive approach can shorten your recovery to a fraction of what you would expect from a conventional approach. It's now possible in many cases to return home in just 18 or 24 hours, and many women can be return to work quickly... back to the "business of living" sometimes within a week. The other benefits are even more profound, and include higher success rates and fewer complications.

The Center for Women's Health of Lansdale has the expertise you need for successful pelvic reconstructive surgery. We serve both Montgomery County and Bucks County in partnership with Grand View Hospital in nearby Sellersville, and also in partnership with Lansdale Abington hospital, providing you with the highest quality of care right here in your community while using the latest technological advancements. The Center for Women's Health provides a comprehensive range of obstetrical and gynecological services in addition to pelvic reconstructive surgery, including urogynecology, menopause management, routine gynecological care, contraceptive management, laser aesthetics, hair removal, and weight control.

This article is provided as informational and not intended to be a substitute for professional medical advice. Only your doctor is qualified to diagnose and treat your symptoms, so please be sure to contact us at the Center for Women's Health about the latest treatment options and how to work together for your success. You may contact CFWH with any questions, concerns, or to make an appointment by email at info@lansdalewomenshealth.com.

From the desk of Dr. De Brakeleer. This content is licensed to CFWH provided by Info724 Ltd. and none of this content can be reproduced, sold, or distributed in any form without permission. Please contact us with any questions at info@lansdalewomenshealth.com.

Click here to download this article via a PDF file.