Adolescent Gynecological Exams
Teenage women have questions about their bodies as they enter adulthood. Some become sexually active at a young age and can expose themselves to the risks of pregnancy and disease. A gynecological exam may seem overwhelming, and they may have concerns about confidentiality. Dr. Gorens treats her younger patients with special care and works hard to earn their trust over time. She strives to be the person they can turn to for confidential, professional advice. Women who have reached the age of 18 should have an annual pelvic exam and Pap smear. If the woman is not sexually active before the age of 18, then a full pelvic exam may not be necessary, but a modified pelvic exam is recommended. An exam for an adolescent includes a medical assessment and private consultation in which all her questions will be answered.
Breast Cancer Screening
Breast Cancer affects one of every eight women at some point in their lives. The cause is not yet fully understood, but detection and prevention methods do exist. Each month, women above the age of 20 should examine their breasts for any sign of pain, swelling, or lumps. If abnormalities are found, they should schedule an appointment with the physician. If no abnormalities are present, a physician exam should be scheduled every 1-3 years. Women past the age of 40 need an annual mammogram and clinical exam. If you are unsure of proper methods for self-examination of the breasts, Dr. Gorens will be happy to educate you as part of a routine examination.
Cervical Cancer and HPV Screening
There are many strains of human papillomavirus (HPV), and some can lead to Cervical cancer. Some strains are transmitted sexually. Routine testing can detect these viruses, and treatment is available. A Pap smear performed every one to three years can detect abnormal cells that may lead to cervical cancer. Women over 30 are at greater risk of developing cervical cancer and should have an HPV DNA test at the same time as the Pap smear to detect many of the HPVs that are associated with developing into cervical cancer. HPVs tend to go away in time, but women should be screened regularly to detect them and reduce the risk of cervical cancer.
Contraceptive Counseling
Choosing a method of contraception that is right for you involves weighing many factors, such as health, convenience, frequency, duration, age, and permanency. Dr. Gorens can furnish the information you need in order to make an informed choice.
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Intrauterine Devices (IUD)
IUDs have few side effects and provide long-term protection against pregnancy. They must be inserted and removed by a trained physician in order to be effective and to avoid complications. The physician must measure the cervix and uterus then insert the device to the proper depth. A removal string remains, but removal must be performed by a physician to prevent serious internal injuries.
Pediatric Gynecological Services
Some young patients may have pelvic pain, vulvovaginitis, congenital malformations, or puberty disorders. They may need a preventive exam or treatment for a gynecologic problem. It is recommended that girls over the age of 13 have preventive examinations and consultations in order to establish a relationship of trust with the doctor. The visit begins with a consultation and evaluation with parent and child both present. If a medical exam is needed, Dr. Gorens is experienced and sensitive in working with patients of this age and will do everything to make sure that the visit is positive for the patient and not traumatic.
Sexually Transmitted Diseases (STDS)
Women usually have no symptoms when infected with a sexually transmitted disease (STD,) so they may be infected without knowing it. Anyone with multiple sexual partners should be tested periodically, even if they are protecting themselves with condoms. Women should ask their partners about any history of STDs and seek testing and treatment if they even suspect they have been infected. Most STDs can be treated effectively, but some have no cure at this time. Gonorrhea, chlamydia and syphilis can be treated with antibiotics. Flare-ups of genital warts can be shortened with antiviral medications. HIV has no known cure, but can be treated effectively. Left untreated, STDs can recur and have debilitating effects, so patients are counseled to practice safe sex and seek testing frequently.
