Teens and Sex Education at the Doctor's Office

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KireBiptBrord of AL 4:52PM July 27, 2010

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gorintygroors of AL 7:59AM July 21, 2010

We don't have those exams either.

I wouldn't agree to anything like that, they sound like something out of a nightmare!

Pap smears are overdone in most countries.

My poor American mother-in-law has had in excess of 50 smears.

If she were here in the Netherlands she would have had 7 and only if she wanted them.

Dr Angela Raffles is an honest doctor and an expert on cervical cancer screening. If you see any of her interviews or articles, read them. (I'm from the UK, but living in Amsterdam at the moment)

I found her research really helpful. I was misled as to the risk of this cancer, like most women.

Dr Raffle says that 1000 women need regular smears for 35 years to save ONE woman from cervical cancer or a nurse doing 200 tests a year will save one woman every 38 years.

With all the abnormal paps we think this cancer is an epidemic, it's not, it's an imperfect test and most of these abnormal paps are errors or caused by infections, inflammation, trauma or hormonal changes, not cancer. It simply doesn't occur that often.

Your risk from this cancer is less than 1%.

I do think this cancer gets too much attention. We'd be better off addressing things like smoking, obesity and heart health and we'd save many more lives.

I don't have any gyn or breast exams. (not recommended here or in the UK or Australia (lived there for a few years as well))

I passed on smears as well as my risk was very low indeed...approaching zero and even infrequent smears carry a fairly high risk of an incorrect result. I don't want to have biopsies when my risk is so low.

My husband and I were virgins when we got together in our late teens. You can't catch HPV from a virgin.

It pays to do your own research or you'll end up like my poor mother-in-law.

Annie 1:50AM March 31, 2010

continuing....

99.35% of womne will not benefit at all from smears. (including the 0.35% who get false negatives)

The risk of over-treatment goes up with over-screening. Annual smears send 95% of women for colposcopy and usually some form of biopsy. Some of these women are left with health problems, mental and physical. Two yearly smears - 77% 5 yearly - 30-55%

Testing before 25 is VERY unreliable and as a result many countries do not offer testing before 25 or 30. 1 in 3 smears are abnormal for women under 25, but cancer in this group is very rare indeed. (1 or 2 in a million)

These women will suffer the most over-treatment for no benefit at all.

Finland has the lowest rates of cervical cancer - no screening before 30 and then 5 yearly - 5-7 tests in total. Some low risk women skip them altogether.

Remember - your informed consent is a legal requirement for all cancer screening. (all these tests carry risk to your healthy body)

Dr Joel Sherman's medical privacy blog under women's privacy concerns parts 1 to 4 contains a host of informative references (including the stats and facts given above)to enable women to make informed decisions about screening and preventative healthcare.

Protect yourselves from this harmful and dishonest regime they call women's healthcare!

Continuing... 1:34AM March 31, 2010

I think the disrespect shown to American women is shameful. The use of stirrups & unnecessary and excessive exams and tests.

The truth is symptom-free women don't need gyn exams EVER. This is profit driven and quite sick - to suggest healthy girls and women need these sorts of inspections and probings is absolute nonsense. I think these exams are far more likely to harm you, than help you.

The blackmailing of women to get birth control is also unethical - no exam and smear = no birth control. I kid you not and in a country that says it respects women as equal and valued citizens. The ONLY check required for the Pill is a blood pressure check and to give a medical history. Even the American Society of ObGyn's says these gyn exams are not required for the Pill, but doctor-made "laws" prevent access to the Pill.

The routine pelvic exam is of poor value and carries the risk of unnecessary and possibly harmful diagnostic testing, even surgery. It is NOT a recommended exam for ovarian cancer.

Breast exams - no evidence they reduce the death rate from cancer, but they cause unnecessary breast biopsies. Some believe biopsies are a risk factor for cancer.

Breast self exams - unhelpful and cause biopsies.

I know some US doctors do rectal and visual inspections of the genitals - just ridiculous!

All of this no doubt explains the highest number of hysterectomies in the world...a staggering 600,000 every year or one third of all women by age 60.

Smears - totally overdone to a negligent degree. This cancer is uncommon and was in decline before screening started...

Virgins are excluded from screening programs -(some US doctors still screen virgins) unless you have been infected with HPV ( sexually transmitted) you have nothing to fear from cervical cancer.

Couples in lifetime mutually monogamous relationships are unlikely to most benefit from smears as well.%

of 1:23AM March 31, 2010

why do people have sex?

brittney fort of DC 9:30AM February 21, 2010

It's just a vagina.

Calm down.

If you had to have an appendectomy would you insist that only your HUSBAND and a single surgeon be allowed in the operating room?

of 3:20AM February 17, 2010

Only in the US do women have their annual well woman exams. In Australia we don't go to the gynecologist unless we have a gynecological problem. We certainly don't have a rectal and pelvic exam every year, that is just ridiculous if you are asymtomatic. I believe that the US has the highest teen pregnancy rate in the developed world, which I would say is caused by teenagers avoiding gynecologists because of these exams.

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varadhareddy 10:27AM September 03, 2009

I absolutely HATE having papsmears in the United States because they hate to have my husband present during my papsmear test and usually have another person, one more for the show! Only in this country such a disrespects toward women. I feel that my HUSBAND should present and not another strange person, it upsolute bothers me to have a second staff looking at my private parts. With the doctors, the person who will perform the pap, MY HUSBAND and myself should be enough people. SHAME ON AMERICA that look horrible the fact of having women's husbands present in the exam room, ABSOLUTELY SHAMEFUL of AMERICA!

ME of WI 6:59PM August 18, 2009

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On Women

On Women

Deborah Kotz, senior writer for U.S. News & World Report, covers everything women care about when it comes to their health. She's often tapping out "Oprah-esque" confessions about how the latest news relates to her personally—whether it's on breast cancer, contraception or easing work-family stress.

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