The Roanoker - March/April 2019 - 51
PREVENTING CERVICAL CANCER
virus. The guidelines for treatment and the vaccine have
changed significantly since then.
The Advisory Committee of Immunizations Practices
(ACIP) at the CDC recommends that both girls and
boys ages 11-12 receive the vaccine.
Vaccination prior to sexual activity is key, as HPV is
spread by all types of sexual contact. While the vaccine
has been shown to be more effective when administered
at a younger age, the age range for treatment has
expanded greatly.
As of 2017, Gardisil 9 is the only HPV vaccine
available in the United States for use in males and females
from ages 9 to 26. Men are vectors for HPV and may not
experience any symptoms, yet unknowingly spread the
disease. Depending on sexual activity, a broader group
of people not previously targeted for HPV immunization
may also benefit from Gardisil 9.
This newer version of the HPV vaccine now covers
nine strains and is now recommended beyond children
and young adults for use in men and woman ages 27 to
45, as well. Females ages 13 to 26 and males ages 22 to
26 already vaccinated with first-generation Gardisil, can
be given a "catch-up" vaccination.
The newer version of the vaccine is also recommended
for use in men and woman ages 27 to 45, specifically, men
ages 22 to 26 should discuss vaccination with their health
care provider if they have not been previously vaccinated,
are immunocompromised or engage in sexual activity
with other men. And patients like Milne, newly single,
may also still benefit from this new vaccine.
Osborne suggests woman over the age of 26 who have
had a change of marital status, or have had a low number
of sexual partners and are now experiencing a change
in sexual partners, discuss HPV vaccination with their
health care provider.
Annual Pap screening (cy tolog y) is no longer
recommended for all women. Otherwise healthy women
ages 21 to 65 should receive a Pap smear once every
three years. Women over the age of 30, should receive a
Pap screening as well as a high-risk HPV co-test every
five years. The second test is completed during a Pap
screening with the collection taken at the same time and
should not require a second visit to the office.
"I had to return after three months for a follow up
treatment post biopsy, then six months," says Milne, "and
now, I'm back to my annual PAP because everything has
been healthy since then."
Osborne stresses that with early detection, Pap
screenings and vaccinations nearly all people avoid
advanced cervical cancers. I
TOP DOCS
Coming in July
SUBSCRIBE
Visit TheRoanoker.com or call (540) 989-6138
TheRoanoker.com
MARCH/APRIL 2019
51
http://www.TheRoanoker.com
http://www.TheRoanoker.com
The Roanoker - March/April 2019
Table of Contents for the Digital Edition of The Roanoker - March/April 2019
The Roanoker - March/April 2019 - Intro
The Roanoker - March/April 2019 - Cover1
The Roanoker - March/April 2019 - Cover2
The Roanoker - March/April 2019 - 3
The Roanoker - March/April 2019 - 4
The Roanoker - March/April 2019 - 5
The Roanoker - March/April 2019 - 6
The Roanoker - March/April 2019 - 7
The Roanoker - March/April 2019 - 8
The Roanoker - March/April 2019 - 9
The Roanoker - March/April 2019 - 10
The Roanoker - March/April 2019 - 11
The Roanoker - March/April 2019 - 12
The Roanoker - March/April 2019 - 13
The Roanoker - March/April 2019 - 14
The Roanoker - March/April 2019 - 15
The Roanoker - March/April 2019 - 16
The Roanoker - March/April 2019 - 17
The Roanoker - March/April 2019 - 19
The Roanoker - March/April 2019 - 18
The Roanoker - March/April 2019 - 20
The Roanoker - March/April 2019 - 21
The Roanoker - March/April 2019 - 22
The Roanoker - March/April 2019 - 23
The Roanoker - March/April 2019 - 24
The Roanoker - March/April 2019 - 25
The Roanoker - March/April 2019 - 26
The Roanoker - March/April 2019 - 27
The Roanoker - March/April 2019 - 28
The Roanoker - March/April 2019 - 29
The Roanoker - March/April 2019 - 30
The Roanoker - March/April 2019 - 31
The Roanoker - March/April 2019 - 32
The Roanoker - March/April 2019 - 33
The Roanoker - March/April 2019 - 34
The Roanoker - March/April 2019 - 35
The Roanoker - March/April 2019 - 36
The Roanoker - March/April 2019 - 37
The Roanoker - March/April 2019 - 38
The Roanoker - March/April 2019 - 39
The Roanoker - March/April 2019 - 40
The Roanoker - March/April 2019 - 41
The Roanoker - March/April 2019 - 42
The Roanoker - March/April 2019 - 43
The Roanoker - March/April 2019 - 44
The Roanoker - March/April 2019 - 45
The Roanoker - March/April 2019 - 46
The Roanoker - March/April 2019 - 47
The Roanoker - March/April 2019 - 48
The Roanoker - March/April 2019 - 49
The Roanoker - March/April 2019 - 50
The Roanoker - March/April 2019 - 51
The Roanoker - March/April 2019 - 52
The Roanoker - March/April 2019 - 53
The Roanoker - March/April 2019 - 54
The Roanoker - March/April 2019 - 55
The Roanoker - March/April 2019 - 56
The Roanoker - March/April 2019 - 57
The Roanoker - March/April 2019 - 58
The Roanoker - March/April 2019 - 59
The Roanoker - March/April 2019 - 60
The Roanoker - March/April 2019 - 61
The Roanoker - March/April 2019 - 62
The Roanoker - March/April 2019 - 63
The Roanoker - March/April 2019 - 64
The Roanoker - March/April 2019 - 65
The Roanoker - March/April 2019 - 66
The Roanoker - March/April 2019 - 67
The Roanoker - March/April 2019 - 68
The Roanoker - March/April 2019 - 69
The Roanoker - March/April 2019 - 70 [71]
The Roanoker - March/April 2019 - 71
The Roanoker - March/April 2019 - 72
The Roanoker - March/April 2019 - 73
The Roanoker - March/April 2019 - 74
The Roanoker - March/April 2019 - 75
The Roanoker - March/April 2019 - 76
The Roanoker - March/April 2019 - 77
The Roanoker - March/April 2019 - 78
The Roanoker - March/April 2019 - 79
The Roanoker - March/April 2019 - 80
The Roanoker - March/April 2019 - 81
The Roanoker - March/April 2019 - 82
The Roanoker - March/April 2019 - DDay1
The Roanoker - March/April 2019 - DDay2
The Roanoker - March/April 2019 - DDay3
The Roanoker - March/April 2019 - DDay4
The Roanoker - March/April 2019 - DDay5
The Roanoker - March/April 2019 - DDay6
The Roanoker - March/April 2019 - DDay7
The Roanoker - March/April 2019 - DDay8
The Roanoker - March/April 2019 - DDay9
The Roanoker - March/April 2019 - DDay10
The Roanoker - March/April 2019 - DDay11
The Roanoker - March/April 2019 - DDay12
The Roanoker - March/April 2019 - DDay13
The Roanoker - March/April 2019 - DDay14
The Roanoker - March/April 2019 - DDay15
The Roanoker - March/April 2019 - DDay16
The Roanoker - March/April 2019 - DDay17
The Roanoker - March/April 2019 - DDay18
The Roanoker - March/April 2019 - DDay19
The Roanoker - March/April 2019 - DDay20
The Roanoker - March/April 2019 - DDay21
The Roanoker - March/April 2019 - DDay22
The Roanoker - March/April 2019 - DDay23
The Roanoker - March/April 2019 - DDay24
The Roanoker - March/April 2019 - DDay25
The Roanoker - March/April 2019 - DDay26
The Roanoker - March/April 2019 - DDay27
The Roanoker - March/April 2019 - DDay28
The Roanoker - March/April 2019 - DDay29
The Roanoker - March/April 2019 - DDay30
The Roanoker - March/April 2019 - DDay31
The Roanoker - March/April 2019 - DDay32
The Roanoker - March/April 2019 - 83
The Roanoker - March/April 2019 - 84
The Roanoker - March/April 2019 - 85
The Roanoker - March/April 2019 - 86
The Roanoker - March/April 2019 - 120
The Roanoker - March/April 2019 - 88
The Roanoker - March/April 2019 - 89
The Roanoker - March/April 2019 - 90
The Roanoker - March/April 2019 - 91
The Roanoker - March/April 2019 - 92
The Roanoker - March/April 2019 - 93
The Roanoker - March/April 2019 - 94
The Roanoker - March/April 2019 - 95
The Roanoker - March/April 2019 - 96
The Roanoker - March/April 2019 - 97
The Roanoker - March/April 2019 - 98
The Roanoker - March/April 2019 - Cover3
The Roanoker - March/April 2019 - Cover4
https://www.nxtbook.com/leisuremedia360/leisure/the-roanoker-march-april-2022
https://www.nxtbook.com/leisuremedia360/leisure/the-roanoker-january-february-2022
https://www.nxtbook.com/leisuremedia360/leisure/RKRND21
https://www.nxtbook.com/nxtbooks/leisure/RKRSO21
https://www.nxtbook.com/nxtbooks/leisure/TheRoanokerJA2021
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20210506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20210304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20210102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_2020_1112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20200910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20200708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20200506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20200304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20200102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20191112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20190910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20190708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20190506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20190304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20190102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20181112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20180910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20180708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20180506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20180304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20180102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20171112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20170910
https://www.nxtbook.com/nxtbooks/leisure/TheRoanoker_JulyAugust2017
https://www.nxtbook.com/nxtbooks/leisure/TheRoanoker_MayJune2017
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20170304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20170102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20161112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20160910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20160708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20160506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20160304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20160102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20151112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20150910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20150708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20150506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20150304
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20150102
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20141112
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20140910
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20140708
https://www.nxtbook.com/nxtbooks/leisure/roanoker_20140506
https://www.nxtbook.com/nxtbooks/leisure/roanoker_201403
https://www.nxtbook.com/nxtbooks/leisure/roanoker_201402
https://www.nxtbookmedia.com