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I need to get a cervical cancer screening. What can I expect? Can I do it myself? And what happened to the pap smear results?

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Cervical screening in Australia Changed over the past seven years. The test has modified, and ladies (and other people with cervical cancer) now have way more alternative and control. Here’s why – and what to expect should you’re between 25 and 74 and you could have to pass the test.

When and why did the test change?

In 2017, Australia became certainly one of the first two countries to use human papillomavirus (HPV) testing as a substitute of Pap tests.

HPV is the reason for virtually every kind of cervical cancer, so testing for the virus is a superb indicator of a person’s current and future risk of developing the disease.

This solution contrasts with the older technology of Pap smear testing, which involved examining cells every two years for changes resulting from HPV infection.

The screening change was supported by a very large group international AND Australian Data indicate that basic HPV testing is more accurate than cytology.

Women and other people with cervixes who don’t have any HPV detected by a test have a very low risk of developing cervical cancer in the next five years or more. This was the basis for extending the screening interval when HPV screening was introduced.

Australia now recommends five years of HPV screening starting at age 25 until age 74 for those eligible, no matter whether or not they have been vaccinated against HPV. Many other countries are following suit by moving to HPV screening.

All established screening tests – that are performed on people with none symptoms – are related to health advantages, but in addition with some harms. These can include psychological and clinical consequences of receiving a “positive” screening result, which need to be investigated further.

The HPV virus can be detected in the vagina without the need to take a cervical swab.
New Africa/Shutterstock

However, recently the World Health Organization (WHO) evidence review found:

  • HPV is a simpler screening test than a Pap smear or some other method
  • significantly reduces the incidence and mortality of cervical cancer
  • it is a approach to examining the cervix, which has best balance advantages to harm.

As a result, WHO now clearly recommends HPV screening as the best method.

Now you can collect your personal sample

One of the essential advantages of switching to HPV screening is that it opens the door for individuals who may collect your personal sample (which was inconceivable with a Pap smear). If the HPV virus is present, it can be detected in the vagina without having to take a sample directly from the cervix.

In 2022, Australia became certainly one of the first countries worldwide to introduce a universal self-sample option as a part of the essential national screening programme. This means that individuals eligible for screening, under the supervision of their primary care physician, can now select to collect their very own vaginal sample, in privacy, using a easy swab.

By the end of 2023 27% of individuals we decided to take the test this fashion, but this trend is growing and can probably proceed to grow, information campaign is scheduled to start next month.

So what happens when I take the test?

You will receive an invite from National Cancer Screening Registry to participate in your first test whenever you turn 25. If you might be older, you’ll receive reminders when it is time to your next test. You will likely be invited to see your GP or health service for a test.

You ought to be asked whether you would like to have the test performed by a physician or should you would like to collect the sample in person.

There isn’t any right or flawed way. The accuracy of the tests has been shown be equivalent for samples taken by a physician or by yourself. It is a matter of alternative.

If your doctor does the test, they’ll perform a pelvic exam with a speculum inserted into your vagina. This allows the doctor or nurse to view your cervix and take a sample.

The doctor holds a speculum
The doctor will insert a speculum to collect a sample.
Tatiana Buzmakova/Shutterstock

If you might be fascinated about the possibility of non-public collection, please check when making an appointment whether the office offers this selection.

If you select to collect yourself, you can do so in privacy. You will likely be given a swab (which looks like a COVID test swab with a longer shaft) and given instructions on how to insert and rotate the swab into your vagina to collect a sample. It only takes a couple of minutes.

What does it mean if my test detects HPV?

If the test detects HPV, it means you could have an HPV infection. These are quite common and do not, in and of themselves, mean you could have cancer and even precancerous conditions (which involve changes in the cells of the cervix that, over time, make it more likely to become cancer).

However, it does mean that you just are at greater risk of developing a pre-cancerous condition or developing it in the future and that you’ll profit from further check-ups or diagnostic tests. Your doctor or nurse to guide you on next steps in keeping with national guidelines.

If a diagnostic test is required, it will involve a procedure called a colposcopy, during which a gynaecologist or other specially trained healthcare skilled will fastidiously examine your cervix and can also take a small sample to examine the cells intimately.

If you could have a precancerous condition, you can be treated quickly and simply, often without having to go to the hospital. The treatment involves ablation, or removal of a small area of ​​the cervix. This treatment will drastically reduce your risk of developing cervical cancer.

What does this mean for cervical cancer rates?

Cervical HPV screening is a very effective approach to stopping cervical cancer. Due to HPV screening in Australia, combined with HPV vaccination in younger people, Australia is expected achieve such a low cervical cancer rate by 2035 that the disease can be considered eliminated.

Last yr the government launched National Cervical Cancer Elimination Strategy which presents key recommendations for eliminating cervical cancer and achieving this goal equitably across all groups of ladies and other people with a cervix.

One of the best ways to protect yourself is to get a cervical screening test as soon as you might be eligible, whether or not you could have been vaccinated against HPV.

This article was originally published on : theconversation.com
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Health and Wellness

WATCH: Cynthia Erivo on the importance of being a sister – Essence

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This article was originally published on : www.essence.com
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Health and Wellness

Phenergan is no longer recommended for children under 6 years of age due to the risk of hallucinations. Here’s what you can use instead

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The Australian Drugs Regulatory Authority has issued an order safety warning over Phenergan and related products containing the antihistamine promethazine.

The Therapeutic Goods Administration has stated that over-the-counter products shouldn’t be given to children under six years of age due to concerns about serious unwanted side effects akin to hyperactivity, aggression and hallucinations. Breathing may turn into slow or shallow, which can be fatal.

When high doses are administered to young children, difficulties in learning and understanding, including reversible cognitive deficit and mental disability, may occur. – said the TGA.

The latest warning follows international and Australian concerns about the drug in young children, which is commonly used to treat conditions akin to hay fever and allergies, motion sickness and for short-term sedative effects.

What is promethazine?

Promethazine is a “first generation” antihistamine that has been sold over the counter in Australian pharmacies for a long time for a spread of conditions.

Unlike many other drugs, first-generation antihistamines can cross the blood-brain barrier. This means they affect your brain chemistry, making you feel drowsy and sedated.

In adults, this will likely be useful for sleep. However, in children, these drugs can cause serious unwanted side effects on the nervous system, including those mentioned on this week’s safety alert.

We’ve known about this for a while

We have known about the serious unwanted side effects of promethazine in young children for a while.

Advice regarding 20 years ago In the United States, the drug was not recommended for use in children under two years of age. In 2022, an Australian Medicines Advisory Committee made its own suggestion to increase the age to six. New Zealand released similar warnings and advice in May this 12 months.

Over the last ten years, there have been 235 cases of serious unwanted side effects from promethazine in each children and adults reported to the TGA. Of the 77 deaths reported, one was a toddler under six years of age.

Reported unwanted side effects in each adults and children included:

  • 13 cases of accidental overdose (leading to 11 deaths)
  • eight cases of hallucinations
  • seven cases of slow or shallow respiration (leading to 4 deaths)
  • six cases of decreased consciousness (leading to five deaths).

TGA security alert comes after an internal investigation by the manufacturer of Phenergan, Sanofi-Aventis Healthcare. This investigation was initiated in 2022 advice from the Medicines Advisory Committee. The company has now updated its information for consumers and healthcare professionals.

What can you use instead?

If you have allergies or hay fever in young children, non-sedating antihistamines akin to Claratine (loratadine) or Zyrtec (cetirizine) are preferred. They provide relief without the risk of sedation and other disturbing unwanted side effects of promethazine.

If symptoms of a chilly or cough occur, parents must be reassured that these symptoms will normally subside with time, fluid intake, and rest.

Saline nasal sprays, adequate hydration, a humidifier or elevating the child’s head can relieve the congestion related to hay fever. Oral products containing phenylephrine marketed for nasal congestion must be avoided because evidence shows that this is the case This article was originally published on : theconversation.com

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Health and Wellness

Why Elon Musk’s Grok Could Pose a Threat to Medical Privacy

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elon musk, DEI, remote work, jobs


Owner of X and candidate for the White House cabinet Elon Musk asked users to submit MRI results, CT scans and other medical information to its AI chatbotGrok reviewed it and a few people fell for it, he reports.

Musk presented this concept to X in late October 2024.

“Try uploading X-rays, PET, MRI, or other medical images to Grok for analysis. It’s still early stages, but it’s already quite accurate and will be extremely good,” he wrote. “Let us know where Grok is doing it right or where it needs work.”

Some individuals who voluntarily submitted photos were comfortable that Grok “did do well” together with his blood test results and breast cancer detection, but others waved red flags against the platform.

Josh Sharp, who goes by @showinvestment on social media, identified how a broken collarbone was viewed as a dislocated shoulder.

Radiologist Docteur TJ provided an in-depth evaluation of the MRI image, which he described partially as “too gross.”

Another example is a robot confusing a mammogram of a benign breast cyst with a picture of the testicles.

Grok was launched in May 2024 after raising $6 billion in an investment financing round through Musk’s tech startup, xAI. Grok is just not the primary of its kind: Google’s Gemini or OpenAI’s ChatGPT also enable the transfer of medical images.

While some praise the technology’s potential advances, medical privacy experts don’t not on this camp.

“It’s very personal data, and there’s no telling exactly what Grok will do with it,” said Vanderbilt University biomedical informatics professor Dr. Bradley Malin, according to “Sending personal information to Grok is more like, ‘Whee!’ Let’s throw out this data and hope the corporate does what I need it to do.”

The Health Insurance Portability and Accountability Act (HIPAA) protects medical information shared with physicians or in a patient portal because federal guidelines protect it from being shared without consent. However, the protection doesn’t cover social networking sites – it only applies to doctor’s offices, hospitals, health insurers and a few firms they work with.


This article was originally published on : www.blackenterprise.com
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