Vim & Vigor - Fall 2018 - Community Healthcare - 39

TRUE OR FALSE:

The Pap test screens for HPV.

FALSE. The Pap test examines cells brushed from the cervix, at the
bottom of the uterus, to detect abnormal changes (dysplasia) that could
be precancerous. The Pap can also find cancer cells. HPV microscopic
testing can be done at the same time and use the same specimen to look
for human papillomavirus (HPV), which causes cervical cancer. When
the tests are done at the same screening, the effort is called Pap and
HPV co-testing.

TRUE OR FALSE:

A Pap test with an abnormal result means cancer.

FALSE. Usually, an abnormal Pap test means that abnormal cells that
can precede cancer have been identified, or that an infection is present.
Doctor and patient will discuss the specific abnormality and how to proceed, ranging from repeat Pap testing in six months or a year to more
advanced tests such as colposcopy.

TRUE OR FALSE:

Women who have had the HPV vaccine still need to have
Pap tests.
TRUE. The HPV vaccine offers protection from some types of the
virus, including HPV 16 and 18, which cause cervical cancer. The vaccine
is not fail-safe and does not protect against all HPV infections that cause
cancer. Dysplasia can still be found with the Pap screening.

TRUE OR FALSE:

GET YOUR
CERVICAL
CANCER

SCREENING

A Pap test looks for cell changes in the
cervix that can lead to cervical cancer, the
fifth-most common cancer for women
ages 20 to 44.
Community Care Network gynecologist Kimberly Arthur, MD, on staff
at Community Hospital in Munster and
St. Catherine Hospital in East Chicago,
says regular screening can help to detect
cervical cancer in its earliest stages,
which greatly improves chances of successful treatment.
"Screenings should begin at age 21 and
be repeated every three years through age
65," Arthur says. "At age 30, you may get
tested every five years if the human papillomavirus or HPV test is also given and
results are normal. Get a Pap test, even if
you have had HPV vaccinations. Women
over the age of 65 with a history of normal
results no longer need a Pap test."

Every woman should have a Pap test every year.

FALSE. Screening guidelines issued in 2012 call for healthy women
to have their first Pap test at age 21 and every three years until age 29;
from 30 to 65, women can be screened every five years with Pap and
HPV co-testing or every three years with the Pap test alone. Generally,
most women older than 65 no longer need the Pap test because the incidence of cervical cancer after that age is low. Testing does continue past
age 65 when certain risk factors, such as HIV, are present.

TRUE OR FALSE:

Women alone are responsible for remembering when to
schedule a Pap test.
FALSE. Ideally, this is a shared responsibility between a woman and
her doctor. Physicians generally will have a record of the appropriate
timing for the screening based on the recommended guidelines. Talk to
your doctor about what's right for you; some women continue to have
annual tests because of risk factors. ■

APPOINTMENTS

Find a Provider
to Fit Your Needs
Community Healthcare System's
physicians and nurse practitioners can help you take charge of
your gynecological health. Call
219-836-3477 or toll-free
866-836-3477 for a free referral.

FALL 2018

39



Table of Contents for the Digital Edition of Vim & Vigor - Fall 2018 - Community Healthcare

Contents
Vim & Vigor - Fall 2018 - Community Healthcare - Cover1
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Vim & Vigor - Fall 2018 - Community Healthcare - Contents
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Vim & Vigor - Fall 2018 - Community Healthcare - Cover3
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