Preventative Care with CA Screening
Mammogram study.
Last week I had my very first screening mammogram in Portland. Staying on top of screening exams is fundamental to your health and one of the most impactful acts of self-care. This week we look at the current recommendations around screening exams for different age groups. The information here comes from UpToDate, an evidence-based resource used primarily by physicians. Recommendations for screening are often individualized based on your family history, past medical history, and lifestyle so consult with your doctor.
How often should you go to the doctor? If you are healthy and under 49 years old, a visit every three years is recommended and every year once you’re 50 years old. If you are healthy, this annual visit is your opportunity to ensure you’re up to date with preventative screening. If you have not already done so, consider establishing care with a primary care doctor that takes your insurance. Screening exams will often require authorizations and referrals, and doing your best to stay within your insurance network may help mitigate associated costs.
Screening exams for Cancer Prevention:
General cancer prevention includes: avoid tobacco, exercise, maintain a healthy weight, eat a diet rich in plant foods and low in saturated and trans fats, limit alcohol, protect against sexually transmitted diseases like HPV, and wear sunscreen.
Cervical Cancer Screening:
Age 21-29
For those with a uterus, a PAP exam is recommended every three years or initiate HPV screening at age 25.
Ages 30-65
For those with a uterus, co-testing PAP and HPV is recommended every five years or PAP test alone every three years.
65 and older, If you are average risk with negative prior screening, no further screening is needed. If you have not had adequate prior screening, then continue to screen for cervical cancer every three years until 70-75 years old.
Ovarian cancer screening is based on family history and is not recommended for average risk individuals.
Colon Cancer is recommended for average risk individuals starting at 45 and continuing until 75 to 85 years old. The rate at which you screen is based on your individual risks and is discussed between yourself and your doc.
Lung Cancer: for those with increased risk, annual CT screening is recommended.
Prostate Cancer: start the conversation with your doc at age 50 if you are otherwise healthy. The conversation starts at 40 in higher risk individuals.
Melanoma: if you are white and over 50, it's recommended to have regular full-body skin examinations by a clinician with skin expertise. Otherwise, connect with your doctor if any suspicious skin lesions appear.
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