Friday, July 3, 2009

The Pap smear


At present so many Jamaican women are still not doing there pap smear. Some do it but not often enough. Some have never done it before, and yes there are those patients who do there pap smear annually on schedule. There are however too few of these last set of Women.

EVERY WOMAN SHOULD DO THEIR PAP SMEAR ONCE A YEAR, OR MORE FREQUENTLY IF INDICATED (ie. example if there doctor said the last smear was abnormal and they should do it sooner).

WHAT IS THE PAP SMEAR?
The pap smear is a screening test used to detect pre-cancerous or cancerous changes in the cervix. The procedure takes usually less than 30 seconds, the doctor will also do a vaginal examination after wards. At most, it is uncomfortable but not painful. But it is important to do.

All Gynaecologists, Family Doctors (GP, clinics, and The Cancer Society of Jamaica offers the pap smear. It may be free in the public setting and privately the cost may vary from JA$600 to JA $1500.

Cervical cancer is the COMMONEST gynaecological cancer in Jamaica and we are seeing it in YOUNGER women, even women in there 20s, although the peak age is said to be in the 40s and 50s.

Doing the Pap smear annually has been shown to decrease death from cervical cancer, as it picks up most commonly pre-cancerous changes that can be EASILY CURED.

In my practice I see about 1 precancerous lesion (called CIN- cervical intraepithelial neoplasia) in about every 25 to 30 smears. 1 in 25 to 30 that is really common AND A RIDICULOUSLY HIGH INCIDENCE!!!! Most of my patients are 18 to 35. So its really common. I treat the lesions so that they will not progress to cancer.

So please ladies do your pap smear once a year!!

By the way, CIN and cervical cancer is caused by a SEXUALLY TRANSMITTED INFECTION CALLED HPV (HUMAN PAPILLOMA VIRUS). Sticking to one faithful partner, using a condom or abstaining WILL help to protect against HPV. The condom only partially protects, but USE A CONDOM EVERY TIME MY SISTERS!!!

8 comments:

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