jueves, 1 de septiembre de 2016

It's Teal Time! Ovarian Cancer Awareness Month

September is teal time for Ovarian Cancer Awareness Month.  Ovarian cancer kills many women quickly and silently.  It is one of the cancers that is hard to detect.  The treatment is pure hell and the vague symptoms become unbearably painful.  Ladies, there is something we can do! The pelvic and transvaginal sonogram (also called ultrasound) is a simple test that every woman should have just because you are a woman. Like the mammogram, this medical test is inexpensive and non-invasive (unless vaginal insertion is considered so) as far as no IVs or contrast dye.  Consuming mass amounts of water until you have to urinate (but must hold) is the least discomfort you should experience.

Talk to your doctor about pelvic sonogram screening after a thorough gynecology exam.  Most gynecologists have them in their office which is excellent standard of care and convenient for the patient.  It can be done and read the same day by your gynecologist, possibly by the time you sit down to talk after the exam.  The pelvic and/or transvaginal sonogram becomes part of your medical record for easy reference as needed thus providing consistency and, if necessary, for future comparison.  These tests are also becoming more readily available for direct consumer purchase without prescription at diagnostic centers and through health fairs.

The CA-125 blood test may be useful; however, it is nonspecific and may be seen with other conditions like endometriosis, pregnancy, fibroid tumors, diverticulitis, and liver cirrhosis.  It has been proven to be a reliable tumor marker once ovarian cancer is diagnosed. CA-125 tests, like the pelvic songram , is not recommended for women at average risk of ovarian cancer.  High risk patients like those with a family history of the disease, mutations in BRCA1 or BRCA2 genes, or suggestive symptoms are encouraged to get tested.

Early detection of ovarian cancer saves lives as well as fertility especially for women of childbearing age.  For these reasons alone sonograms should become part of every woman's prevention schedule on a routine basis like the mammogram.  The patient's quality of life can be saved in a cost effective manner.  The nonspecific symptoms of pelvic pain, low back pain, abdominal pain (bloating, fullness, distension), changes in bowel or bladder habits are surely worth looking into, but can lead your doctor into a quandry with many other diagnostic tests before ovarian cancer is suspected. The time this takes can definitely delay diagnosis. 

Speak up before the silence of ovarian cancer quiets your life.  Though unpreventable there are things you can do to lower your risk.  This includes genetic counseling, and removal of ovaries (oophorectomy).  Seek care and advice from experts in these areas via your gynecologist. The National Ovarian Cancer Helpline is very good for locating local resources.

Without an actual early detection test for ovarian cancer, we still must do all we can to detect early and prevent the rampage of this deadly disease.  The pelvic and transvaginal ultrasound along with a thorough pelvic exam can reduce the sounds of suffering that ovarian cancer shouts out in silence. It's teal time!  Best Health!


For more information on pelvic exams being done routinely, see "Asymptomatic Symptomatic Static on Routine Pelvic Exams" http://bit.ly/1DlarBR