Gynecological evaluation to prevent cancer


In current medicine it has been established that the gynecologist is the woman's attending physician, since it has been considered that there is no other health professional who is in closer contact with her than the obstetrician gynecologist; is the specialist responsible for controlling pregnancy, taking care of women's health and preventing conditions that may arise in the future.

Gynecological control is fundamental for the prevention of different pathologies in women, especially malignant ones. Approximately one out of three women suffers from cancer throughout their lives, and one in four dies of the disease, with gynecological cancers accounting for 12% of these cases.

It is estimated that only 5% of women go to the gynecologist in a preventive way, because unfortunately 95% come to consultation when a disease is latent or presents the symptoms of some ailment. This is fought with a culture of prevention that, fortunately, every day is taking more body in Dominican women.

Among the strategies established to combat cancer in the 21st century is the detection in the asymptomatic population of stages prior to malignancy and of the disease itself at the early stage. These detection strategies are based on the criteria imposed by the World Health Organization (WHO).

Undoubtedly the annual consultation with the gynecologist is an effective strategy to achieve cancer prevention. By means of a correct interrogation and physical examination it is detected which are the potentially problematic areas, which allows to derive in the most adequate complementary exams for each patient.

The routine gynecological check should be performed at least once a year to all sexually active women and / or over 18 years of age; This evaluation includes the collection of information about personal and family history that could represent risk factors related to the main malignant entities of this specialty, a thorough physical examination from head to toe with emphasis on mammary, abdominal and pelvic exams. health habits and important interventions considering the main causes of morbidity and mortality of each of the different age groups; and the accomplishment of analysis of laboratories and specialized studies to evaluate the state of all the organs of the female body: the breasts, vulva, vagina, cervix, uterine body, fallopian tubes and ovaries.
The routine preventive evaluation of the woman should be done by a gynecologist, since these exams should be done and visualized with appropriate instruments and someone skilled in the subject.

Recall that women can not self-examine in certain risky areas, such as the cervix, and that each type of gynecological cancer is different and has specific signs and symptoms, as well as different risk factors and requires different prevention strategies.
All women are at risk of gynecological cancers and the risk increases with age.

If gynecologic cancers are detected at an early stage, treatment is more effective.

What are the most frequent gynecological cancers in the Dominican Republic?

According to studies by international organizations, every year, in the Dominican Republic, 13,000 new cases of cancer are diagnosed. Breast cancer is the most frequent. It is estimated that every year around 5200 Dominican women are diagnosed with breast cancer, with the aggravating circumstance that more than 70% of cases are detected at an advanced stage.

Although breast cancer is the one that takes more victims in women in this country, it is important to remember that there are other types of cancer that affect hundreds of Dominicans, among them the Cervicouterino, in which in the Dominican Republic it registers an average of 1500 cases new cervical cancer each year and of these, there are approximately 600 deaths from this disease.

Virtually all cases of this kind of pathology (99%) are related to genital infection with the human papilloma virus (HPV), which is the most common viral infection of the reproductive tract. It has been observed that more than 50% of patients who are detected this type of condition reaches the consultations when they already have metastases and, therefore, little chance of survival.

Authors: Doctors Noelia Gómez González and Kelda Rodríguez Wrispi

Published in: Today Digital Newspaper

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