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Sexually Transmitted Disease Screening and Treatment
Chlamydia – The Most Common STD
Chlamydia is the most common sexually transmitted bacterial infection in the United States. It is highly prevalence among adolescents and young adults.
Is it thought that there are 3 million new chlamydia cases each year in the U.S. Adverse sequelae of infection include pelvic inflammatory disease, inflammation of the cervix, inflammation of the urethra, ectopic pregnancy (pregnancy located outside the uterus), infertility, and increased susceptibility to HIV.
The highest infection rates are among sexually active women ages 15-24 years old. The American College of Obstetricians and Gynecologists (ACOG) recommends routine screening for chlamydial infection for all sexually active women aged 25 years or younger and other asymptomatic women at high risk for infection.
Positive cultures can be treated with oral antibiotics. Testing for reinfection 3 months after treatment is recommended. The exception is pregnancy, when “test-of-cure” testing is recommended. Sexual partners should be referred for evaluation and treatment.
We also test for and treat HPV and offer Guardisil vaccinations.
We test for and consult and treat several other conditions, call today for a consultation!
Family & Genetic Cancer Screening
Genetic Testing for Hereditary Cancer
Approximately 5-10% of all cancers develop because a person inherits a genetic mutation in a way that encourages the disease to grow. Individuals with these genetic mutations are more likely to develop certain cancers, often at a much earlier age than the general population.
Medical management of people with a higher cancer risk/hereditary risk can be very different than that for people with a lower cancer risk/general population risk. By working with your health care provider, you can determine if your family history suggests increased risk for a hereditary cancer family syndrome. An individual with a personal and/or family history of multiple cancers on the same side of the family, breast, colorectal, or endometrial cancer at age 50 or younger, rare cancers at any age such as ovarian, male breast cancer, and triple negative breast cancers are examples of red flags to indicate the need to assesses for hereditary cancer.
Here at Renaissance Healthcare for Women, we offer hereditary cancer testing. The testing analyzes 25 genes associated with cancer risks, thereby providing critical information to make optimal medical decisions and take action in building a personalized cancer risk-reduction plan. Results reports can be positive or negative for genetic mutations known to increase cancer risk. Management recommendations for specific cancer risks are generated on the basis of well-established and respected medical guidelines. Ultimately, the information provided allows proper management of your cancer risks.
Testing for Individual Breast Cancer Risk
At Dr. Barbi Phelps-Sandall’s office we are pleased to be offering a personalized breast cancer risk assessment test that predicts risk of sporadic, estrogen receptor positive breast cancer. Clinical risk factors and genetic markers are combined to form an integrated risk.
Breast cancer is the second most common cancer among women in the United States. 1 in 8 women (12%) in the U.S. will be diagnosed with breast cancer during her lifetime.
Certain risk factors may increase your risk of developing breast cancer. These risk factors may include things you can change, such as diet and exercise, and things you cannot change, such as your gender and age. Key risk factors for the most common type of breast cancer (sporadic or nonhereditary breast cancer) include: a women’s age, age at first period, age at first childbirth, history of breast biopsies, and family history of breast cancer.
Detected early, breast cancer has a high survival rate. That is why it is important to know your risk so that steps to reduce your risk or detect breast cancer early can be implemented. While many breast cancers cannot be prevented, there are things women can do that can reduce the risk of developing breast cancer, or increase the likelihood of early detection if breast cancer does occur. By determining your risk using individualized testing we can determine the breast cancer risk reduction and screening plan that is right for you. The test is a cheek swab-based test that is collected in the office. No blood test is required.
You can make an appointment with us to have your individual breast cancer risk testing done and then to develop a personalized breast cancer risk reduction and screening plan.
Influenza immunization should be given annually to all women. Influenza vaccination has been shown to reduce illness. Pregnant women are more prone to severe illness from influenza as well as hospitalizations and even death. Pregnant women with influenza also have a greater chance for premature labor and delivery. Vaccination of pregnant women is particularly important to reduce these risks. There are 3 types of vaccines available. Pregnant women should receive the TIV or RIV regardless of trimester. All women who will be pregnant during influenza season, October-May, should be vaccinated regardless of trimester.
Routine and Yearly Examinations
An annual wellness exam is an important part of health maintenance. At your annual exam you will be asked for information about your current health and medical history. You will also receive a physical exam likely including a Pap test and pelvic exam.
When you come for your appointment please have ready information about your family medical history (including family history of cancer), current medications, allergies, and any recent health screenings or vaccinations to ensure that your health file is up to date.
At this appointment, referrals for any further laboratory services, screening exams (DXA scan, colonoscopy), or specialist appointments can also be addressed. Your annual exam may also be a time when any medications that you receive from this office can be reevaluated and prescribed again if indicated.
Please print out, complete, and bring to the office the form “Health Visit Questionnaire (Page 3)” in order to expedite your check-in process at your upcoming appointment.
VIEW PATIENT FORMS
Adolescent Gynecology and Counseling
We see patients of a wide range of ages including adolescent women. We understand that this is an age where many questions and concerns arise about body changes and sexual health. We strive to be extra sensitive to the unique needs of this population of patients and our goal is to be a place where young women feel comfortable establishing a regular health care routine.
We perform annual wellness exams on adolescent women and see adolescent women for a variety of concerns including, but not limited to: menstrual concerns, breast changes, vaginal infections, contraception counseling, and sexually transmitted infection screening and treatment.
Contraception Counseling, Prescriptions, and Procedures
We offer a range of contraception options including both temporary contraception (such as prescription birth control pills, Nuvaring, IUD placement, Nexplanon insertion, and Depo Provera injection) and permanent contraception (including Essure and tubal ligation). A choice of contraception is best made by taking into account personal and family medical history, any current menstrual concerns, as well as what method best fits into a patient’s lifestyle and preferences.
Approximately 8 million women in the United States have osteoporosis, and they are at significant risk for fractures and related morbidity.
Osteoporosis is a skeletal disease characterized by low bone mineral density, causing decreased bone strength and increased risk for fracture. Approximately 1 in 7 women over age 50 have osteoporosis. The incidence of osteoporosis increases progressively with age after menopause. It is thought that half of all women over age 50 can be expected to suffer an osteoporosis related fracture in their lifetime. Consequences of these fractures include pain, difficulty walking, loss of independence, altered body image, and depression.
Factors that increase the risk of osteoporotic fracture include aging, genetic predisposition, estrogen deficiency, physical inactivity, and conditions that increase the likelihood of a fall. A previous osteoporotic fracture is associated with a greatly increased risk for subsequent fracture.
The DXA test is used to test for osteoporosis. It measures bone mineral density in the lumbar spine and hip. Risk for fracture is assessed by comparing the the mean of the reference population. We refer our patients to local imaging centers for this test.
There are different treatment options for osteopenia and osteoporosis, based upon the results of the test and risk factors.
We offer lifestyle counseling, cholesterol management, mindfulness practices, herbal and botanical treatment, and referral for acupuncture and other complementary services.
Weight Loss Management (Qysmia)
Our office offers weight loss management
The prevalence of obesity is increasing dramatically. More than 2/3 (69%) of adults are overweight or obese and more than 1/3 (35%) are obese. Overweight or obese women are at high risk of venous thrombosis, metabolic aberrations, and decreased drug efficacy, and face unique challenges in their choices for contraception. They should also be evaluated for diabetes and lipid disorders.
A 10% weight loss over a 6-12 month course can improve blood pressure, cholesterol, and glucose values as well as reducing mortality.
Dr. Barbi Phelps-Sandall is now offering the FDA approved prescription medication Qsymia for weight loss management. Qysmia combines two medications. The first medication reduces appetite and decreases food consumption. The second medication enhances satiety, helping you feel full throughout the day. Qsymia, combined with regular exercise and a reduced calorie diet, can help you to have meaningful weight loss. Qsymia is covered by most insurance companies. Make an appointment with Dr. Barbi Phelps-Sandall to see if Qsymia is right for you. For more information, visit Qsymia.com.