Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Most of the time, cervical cancer does not cause any symptoms. But cervical cancer can be successfully prevented and treated if detected early with regular pap tests.
Cervical cancer is a type of cancer that affects a woman's reproductive organs. Although it is a dangerous cancer, you can take steps to prevent it.
A Pap test (also called a Pap smear) is the most common type of screening test for cervical cancer. During the test, we check for abnormal cells in your cervix, which is the lowest, narrowest part of the uterus. If abnormal cells are found, we can help you manage and treat them before they turn into cancer.
Most of the time, cervical cancer does not cause any symptoms. It is only diagnosed by an abnormal result from a Pap test. If you have unusual pain, bleeding, or vaginal discharge, you should make an appointment to see us for a checkup.
We used to think that women should get a Pap test every year. However, the latest research indicates that the frequency of Pap tests depends on your age and health status. Women should start having Pap tests at age 21.
Annual Pap tests are not necessary because cervical cancer is rare in women under age 25, and cervical cells become cancerous very slowly. We can discuss when you should return for your next Pap test. Many women can safely wait up to 3 years.
After you turn 30, you should continue to have Pap tests every 3 years and also begin to be tested for human papillomavirus (HPV). If your HPV test is positive, it does NOT mean that you have, or ever will have, cervical cancer, but we will want to follow up with you more frequently. We can discuss how often you should come in for a checkup after we get the results of your test.
To get the best results, do not schedule this test during the time your next period is due. But if you get your period unexpectedly, come in anyway.
During the 48 hours before you come in:
The procedure is quick, and most patients do not experience any discomfort at all. A few women notice some mild cramping, like what they feel when they get their periods.
After the exam, you might notice a small amount of bloody discharge. This is normal.
You can expect to hear from us in about 3 weeks with your Pap test results.
We now know that most cases of cervical cancer are caused by a virus called the human papillomavirus (HPV). HPV is a common virus that can be passed from one partner to another during sex.
Most people carry the virus at some time in their lives, sometimes for a few months or a year or 2. There are many types of HPV, and most of them are harmless and will go away on their own. A few types of HPV can turn into cervical cancer, and a few types can cause genital warts.
The presence of HPV in anyone who has ever had sex is normal. Most women who have HPV will never get cervical cancer.
Your health and lifestyle can determine whether you are at a higher or lower risk for contracting HPV.
Sexual history. You have a greater chance of getting HPV if you have had lots of sexual partners (or if your partner has had lots of sexual partners).
Cigarette smoking. If you use tobacco, one of the best things you can do for your health is to quit now. Smoking doubles the risk of cervical cancer in women who have HPV. Exposure to secondhand smoke may also be a contributing factor.
A weakened immune system. If you are HIV-positive, undergoing chemotherapy, or have an otherwise weakened immune system, you should take extra care to avoid HPV. You are more likely to catch HPV, and it is also more likely that your HPV will develop into cervical cancer.
Cervical cancer is one of the most preventable cancers. To protect yourself, we recommend:
In 2006, the Food and Drug Administration approved an HPV vaccine for girls and women from ages 9 to 26. The vaccine protects against the strains of HPV that may cause precancerous changes in the cervix and genital warts.
We can talk about whether the vaccine is right for you at your next checkup.
If you have already had the HPV vaccine, you will still need to have a Pap test at least every 3 years. While the vaccine is effective against certain types of HPV, it does not prevent all the types that could possibly cause cervical cancer. It is also important to know that the HPV vaccine does not protect you against other sexually transmitted diseases like chlamydia, herpes, or HIV.
Screening for cervical cancer is important, and we strongly recommend making regular Pap tests part of your health routine.
You should start having regular Pap tests at age 21. You should continue to have a Pap test every 3 years if your test results are normal. After you turn 30, this procedure will also including testing for human papillomavirus (HPV).
You can expect to receive your Pap test results in about 3 to 4 weeks. Once I’ve reviewed your results, my office staff or I will contact you with results by phone, e-mail, or regular mail.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.