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Report: Push Back Age of Cervical Cancer Tests

 
Anonymous Coward
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11/20/2009 10:53 AM
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Report: Push Back Age of Cervical Cancer Tests
[link to www.foxnews.com]

CHICAGO — Women in the United States should start cervical cancer screening at age 21 and most do not need an annual Pap smear, according to new guidelines issued Friday that aim to reduce the risk of unnecessary treatment.

The guidelines from the American College of Obstetricians and Gynecologists or ACOG now say women younger than 30 should undergo cervical cancer screening once every two years instead of an annual exam. And those age 30 and older can be screened once every three years.

The recommendations are based on scientific evidence that suggests more frequent testing leads to overtreatment, which can harm a young woman's chances of carrying a child full term.

"Overtreatment of minor abnormal pap tests in young women and adolescents can lead to consequences such as preterm labor in some cases. It increases the risk," said Dr. Thomas Herzog of Columbia University in New York, who is chairman of an ACOG subcommittee on gynecologic cancers.

"Preterm delivery has become a huge problem in the United States that has potential serious consequences for the unborn fetus," said Dr. Jennifer Milosavijevic, a specialist in obstetrics and gynecology at Henry Ford Health System in Detroit, who supports the guideline changes.

Avoiding Unnecessary Procedures

"These new guidelines will allow us to avoid doing unnecessary procedures on the sexually active adolescent female," she said in an e-mail.

The guidelines are unlikely to be met with the kind of rebellion that accompanied new breast cancer screening guidelines this week, which were largely based on computer projections, Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, said in a telephone interview.

"There is a lot more agreement about the science of cervical cancer screening," Lichtenfeld said.

Prior recommendations called for annual cervical cancer screening to start three years after a women first becomes sexually active, or by age 21. Although the rate of HPV infection is high in this population, rates of cervical cancer are very low.

Herzog said the new recommendations are based on studies that suggest starting screening earlier than age 21 causes more harm than benefit.

"We were overdiagnosing and overtreating adolescents and very young women," Herzog said in a telephone interview.

Cervical cancer is a slow-growing cancer caused by exposure to certain strains of the human papillomavirus (HPV), a common sexually transmitted disease among women and men.

"Women do not get cervical cancer first. They acquire HPV, the sexually transmitted virus that causes precancerous abnormalities of the cervix and cervical cancer. It takes years to progress from an HPV-infection to full-blown cervical cancer," Milosavijevic said.

For that reason, she said changing the screening interval will not mean more cervical cancers will be missed. She said most deaths from cervical cancer in the United States happen in people who are screened infrequently, or not at all.

"The take-home message for women is that you should still get your pap smear screening," Milosavijevic said.

HPV is the most common sexually transmitted disease in the world. About 20 million Americans currently are infected with HPV, according to the CDC.

In the past 30 years, cervical cancer rates in the United States have fallen by more than half, due in large part to widespread use of cervical cancer screening.
Anonymous Coward
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11/20/2009 10:56 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
And when The gov't is running people's healthcare these guidelines will become standards. And when that happens, it will determine when these tests can be given. First the change in mamogram standards, now this.
Anonymous Coward (OP)
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11/20/2009 11:01 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
And when The gov't is running people's healthcare these guidelines will become standards. And when that happens, it will determine when these tests can be given. First the change in mamogram standards, now this.
 Quoting: Anonymous Coward 782508


Yep, I think that's what it's about.

Although, for myself, I'm tired of doctors up in my nether regions or crushing my breasts - so I don't mind the guidelines, but I agree with you.
Anonymous Coward
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11/20/2009 11:03 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
And when The gov't is running people's healthcare these guidelines will become standards. And when that happens, it will determine when these tests can be given. First the change in mamogram standards, now this.


Yep, I think that's what it's about.

Although, for myself, I'm tired of doctors up in my nether regions or crushing my breasts - so I don't mind the guidelines, but I agree with you.
 Quoting: Turtles Know



Well, i see your point. However, in the end you can't be forced to take any exam you don't want to. But the other side of it is not being able to have those exams when you feel it is necessary, or your doctor.
Anonymous Coward
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11/20/2009 11:04 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
one word: RATIONING
Anonymous Coward (OP)
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11/20/2009 11:05 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
And when The gov't is running people's healthcare these guidelines will become standards. And when that happens, it will determine when these tests can be given. First the change in mamogram standards, now this.


Yep, I think that's what it's about.

Although, for myself, I'm tired of doctors up in my nether regions or crushing my breasts - so I don't mind the guidelines, but I agree with you.



Well, i see your point. However, in the end you can't be forced to take any exam you don't want to. But the other side of it is not being able to have those exams when you feel it is necessary, or your doctor.
 Quoting: Anonymous Coward 782508



You are correct.
Anonymous Coward (OP)
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11/20/2009 11:06 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
one word: RATIONING
 Quoting: Anonymous Coward 823035


Yep, that'd be the word.
Anonymous Coward
User ID: 818619
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11/20/2009 11:08 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
Why should I have to lay out $200+ every year for these tests? Not to mention the mammograms which cause cancer.

This is all just busy work that nickel and dimes women.

If men were supposed to put their dicks in some crushing device that caused as much cancer as it detected, the medical establishment would have put a stop to it years ago.

The medical policies involving women are some stupid shit and medical industry has used women's issues as cash cows for decades.
Anonymous Coward
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11/20/2009 11:08 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
They are so blatant now with their genocide program.
Anonymous Coward
User ID: 782508
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11/20/2009 11:10 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
Why should I have to lay out $200+ every year for these tests? Not to mention the mammograms which cause cancer.

This is all just busy work that nickel and dimes women.

If men were supposed to put their dicks in some crushing device that caused as much cancer as it detected, the medical establishment would have put a stop to it years ago.

The medical policies involving women are some stupid shit and medical industry has used women's issues as cash cows for decades.
 Quoting: Anonymous Coward 818619



I'm not a woman, so i don't know. but do doctors physically force women to get any test at all? or just advise?
Resister

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11/20/2009 11:12 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
Mammograms last week.
Cervical Cancer tests this week.

coming soon:

Prostate screenings
Cholesterol check ups
General physicals
X-Rays
Ultrasounds
MRIs
all sorts of life saving services and treatments...

Tip of the iceberg
"God forbid we should ever be 20 years without such a rebellion. The people cannot be all, & always, well informed... If they remain quiet under such misconceptions it is a lethargy, the forerunner of death to the public liberty... Let them take arms... What signify a few lives lost in a century or two? The tree of liberty must be refreshed from time to time with the blood of patriots & tyrants. " - Thomas Jefferson in 1787
[link to line-in-the-sand.spam]
Bluebird

User ID: 730536
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11/20/2009 11:13 AM

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Re: Report: Push Back Age of Cervical Cancer Tests
And when The gov't is running people's healthcare these guidelines will become standards. And when that happens, it will determine when these tests can be given. First the change in mamogram standards, now this.


Yep, I think that's what it's about.

Although, for myself, I'm tired of doctors up in my nether regions or crushing my breasts - so I don't mind the guidelines, but I agree with you.



Well, i see your point. However, in the end you can't be forced to take any exam you don't want to. But the other side of it is not being able to have those exams when you feel it is necessary, or your doctor.
 Quoting: Anonymous Coward 782508



Yes, this is the method that will be used to implement rationing.

But don't kid yourselves for one minute that you can't be forced to take an examination under govt run health program. They can REQUIRE you to do things like that as well as take whatever vaccines and treatments they say you will.
One of the most important aspects of conspiracy theories is being able to discern when there isn't one.

Oh yeah, like you'd understand anyway.

Where are we going and why am I in this handbasket?. . .J. Handy
Anonymous Coward (OP)
User ID: 782401
United States
11/20/2009 11:16 AM
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Re: Report: Push Back Age of Cervical Cancer Tests
Why should I have to lay out $200+ every year for these tests? Not to mention the mammograms which cause cancer.

This is all just busy work that nickel and dimes women.

If men were supposed to put their dicks in some crushing device that caused as much cancer as it detected, the medical establishment would have put a stop to it years ago.

The medical policies involving women are some stupid shit and medical industry has used women's issues as cash cows for decades.



I'm not a woman, so i don't know. but do doctors physically force women to get any test at all? or just advise?
 Quoting: Anonymous Coward 782508



They tend to advise and pressure - I had a fit at my last doctors because he wouldn't give me my single prescription unless I underwent cancer testing which in my case required yet another colonoscopy.

I got another doctor, got my prescription, weaned myself off of it and haven't been back to a doctor in years.

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