ASK, ANSWER, LEARN
I JUST LEARNED I’M PREGNANT. WHAT CHANGES CAN I MAKE IN MY DIET TO HELP KEEP MY BABY HEALTHY?
MELISSA WOLF, MD ANSWERED:
You have the opportunity in pregnancy to dramatically improve your health and make nutrition and lifestyle choices that will set a lifelong example for your child. If you smoke, drink alcohol, eat junk food, work too much, or have generally neglected yourself, pregnancy is a terrific time to turn things around. In fact, caring for yourself during pregnancy is the best way to care for your baby. Here are four nutrition tips to get you started.
1. It is not necessary to “eat for two.” During pregnancy,...[ read more ]
WHAT ARE THE CURRENT RECOMMENDATIONS FOR CERVICAL CANCER SCREENING?
SHAUNA WERTH KRONFUSS, MD ANSWERED:
Cervical cancer in the U.S. has decreased more than 50% in the past 30 years because of widespread screening with pap smears with mortality from cervical cancer seeing a similar decrease. Because of this trend, new recommendations for age-specific cervical cancer screenings have been developed.
Routine cervical cancer screening should begin at age 21. Women aged 21–29 years should be tested with a cervical pap smear every 3 years. For women aged 30-65 years, co-testing with a cervical pap smear and human papillomavirus (HPV) test should...[ read more ]
WOULD YOU RECOMMEND A WOMAN, WHO IS APPROACHING 40 AND DONE HAVING CHILDREN, SEEK OUT AN OB/GYN WITH WOMEN'S SPECIALISTS OR AN INTERNIST WITH INTERNAL MEDICINE ASSOC AS HER...
SHAUN GILLIS, MD ANSWERED:
Thank you for your question. As you know both ob/gyn and internists provide primary care. It depends on what your needs are. If you are generally healthy or have minimal health concerns then an ob/gyn is a great option. If you have health concerns such as diabetes, heart disease, cholesterol or blood pressure problems or a significant family history that you are worried about, an internist is a better option. The important thing is that you find a physician you feel...[ read more ]
WHAT HEALTH SCREENINGS DO YOU RECOMMEND FOR YOUR WOMEN PATIENTS?
PAMELA J. HIEBERT, MD, FACP ANSWERED:
A number of health concerns are specific to women. Routine exams and screenings can decrease risk--detecting silent conditions at their earliest and most preventable stages. Recommendations for various screenings depend on a woman’s age and medical and family history. Lifestyle choices factor in, too.
A Pap test can detect pre-cancerous cervical lesions and are scheduled at least every three years. Breast examinations and mammograms are recommended every other year for women over 40; younger women with risk factors may also be screened....[ read more ]