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Posts with tag obstetricians

Girls should see gynecologist in early teens

The American College of Obstetricians and Gynecologists recommends that girls see a gynecologist for the first time between the ages of 13 and 15. While this visit does not normally include a pelvic exam, it does jump-start a relationship that should be on-going for the duration of a woman's life.

This first visit is likely to include a discussion about menstruation, sexuality, and healthy lifestyle habits -- and may even involve education about the newly FDA-approved cervical cancer vaccine, recommended for females ages 9 to 26.

According to the American Cancer Society, all women should begin receiving pelvic exams for purposes of cervical cancer screening within three years after the onset of vaginal intercourse and no later than age 21. Testing should be done every year with the regular Pap test or every two years using the newer liquid-based Pap test.

Direct access laws do not increase cancer screening in women

Laws were established in an attempt to improve women's health by allowing women direct access to obstetricians or gynecologists. Managed-care plans were forced to allow women to make these appointments without having a referral from their primary care physicians. This gave women easier access to get screened for breast and cervical cancer. It was thought that this approach would increase the likelihood of the women getting the preventative tests.

A study was conducted to compare health care utilization among privately insured women before and after passage of direct-access legislation in various states. The study, published in the current issue of Health Services Research, found that there is no evidence for a strong consistent relationship between direct-access legislation and screening rates for breast or cervical cancer.

So it's not working according to lead author Laurence Baker, Ph.D., of the Center for Health Policy at Stanford University. "Good health care requires much more than having these laws in place. Maybe direct access legislation isn't the right way to go about this at all. Consumer and provider education may be better ways of improving population health. Covering preventive care for uninsured individuals is also key." said Baker.

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