 Navigation |
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- Screening Guidelines
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Age
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Self-Breast Exam
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Clinical Breast Exam
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Mammogram
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| 20-39 years |
Monthly starting at age 20 |
Every Three Years |
Not Recommended |
| 35-40 years |
Monthly |
Baseline |
1st Screening Mammogram by 40, every year thereafter |
| 40 years & over |
Monthly |
Annual |
Annual |
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- Screening Guidelines
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Procedure
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Recommendation
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| Pelvic Examination |
Annually for sexually active women or those having reached the age of 18 |
| Pap Smear |
Annually for sexually active women or those having reached the age of 18 |
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- Screening Guidelines
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Procedure
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Recommendations
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| Vulvar Self Exam |
Monthly |
| Pap Smear |
Annually for sexually active women or those having reached age 18 |
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Risk Factors
- Smoking
- Genital Warts
- Multiple Sex Partners
- Diabetes
- Obesity
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Symptoms
- Lump or Mass
- Itching
- Discharge
- Bleeding
- Incontinence
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- Screening Guidelines
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Procedure
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Recommendations
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| Bimanual Pelvic Examination |
Annually including the palpation of the adnexae for sexually active women or those having reached age 18 |
| Pap Smear |
Annually for sexually active women or those having reached age 18 |
| Tumor Markers (CA-125) |
Not recommended |
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Risk Factors
- Family history of cancer
- Possibly - use of fertility drugs
- Advancing age
- Never having carried a pregnancy
- North American or Northern European descent
- Personal history of endometrial, colon, or breast cancer
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Symptoms
- Pelvic or abdominal pain or discomfort
- Vague, but persistent gastrointestinal upsets such as gas, nausea, and indigestion
- Frequency and/or urgency of urination in absence of an infection
- Unexplained changes in bowel habits
- Unexplained weight gain or weight loss, particularly weight gain in the abdominal region
- Pelvic and/or abdominal swelling, bloating, and/or feeling of fullness
- Pain during intercourse
- Ongoing fatigue
- Abnormal postmenopausal bleeding (this symptom is rare)
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- Screening Guidelines
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Procedure
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Recommendations
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| Pelvic Examination |
Annually |
| Pap Smear |
Annually |
| Endometrial Biopsy |
Baseline at menopause for high risk women |
Risk Factors
- Obesity
- Diabetes
- Hypertension
- History of breast cancer
- Age
- Estrogen Therapy
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Symptoms
- Abnormal vaginal bleeding
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