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the following link https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg if you read the link, it'll tell the history of how our modern speculum’s model after racist history. conventional pap’s using speculum’s which were invented to exploit African Black women. let us remember the victims and recognise how problematic some caucasian white cis men have taken advantage of females, especially non-white’s.

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AGES 2020 Update 2012 old 2018 former rec. Under <25 No screening asymptomatic virgins can request Pap test at age 21 Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Over 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer *detects even the slightest change in the, even if not potentially problematic *said cancer usually aggravated by hpv viruses; the hpv vaccine for it currently only protects against a certain amount of hpv virus; therefore can still get tested if vaccinated. *hpv is a type of virus which can be dormant if you've ever been ‘active’
Do need the pap smear test if a virg!n and/or not s*xual active? You may not necessarily require, unless... You want to plan on having offspring To check for as*ault (such as ab*se) A family relation has had female reproductive cancer if contemplating feticidal abort1on If getting some reproductive apparatus if any of the above applies to you, the circumstances might be different regarding whether or not you as a virg!n should get one if you're not active The pap smear test only checks for cancers caused by the hpv transmitted virus which is transmitted vía such contact If you're not virg!n you may have hpv (said cancer causing virus, which the pap checks you for) dormant in your system
Potential causes of abnormal or unclear Pap smear results: HPV, which is the most common cause an infection, such as a yeast infection a benign, or noncancerous, growth hormone changes, such as during pregnancy immune system issues This doesn’t necessarily mean that you have cancer. But it does mean that your doctor will probably want to do more testing.
Pap smear checks the cells and is sensitive to any abnormalities or inflammation It does not screen for all cancer or any other gynecologic cancer. It does not automatically mean you have cancer. There may not even be anything wrong. ~
The following link https://www.nature.com/articles/d41586-018-05112-1 if read it shows Hans Asperger’s involvement w/ Nasi propaganda promoting problematic ideals calling autistics as psychopaths and deemed unfit in
spewystuey • 3y ago • Doctor in the UK here The NHS information on the pap (smear test we call it here) is fairly comprehensive: https://www.nhs.uk/conditions/cervical-screening/why-its-important/ The recommendation here is if you have ever had any such contact then you should have regular screening. In the UK you may choose not to have screening if you've never had said contact, as a) the majority of change and cancers are caused by HPV, which is transmitted and b) changes and cancers not caused by HPV don't tend to be detected by screening (the pap smear) but by symptoms (intermenstrual abnormal discharge) instead You should never feel pressured into an examination., and you always have the option of declining to answer a question, receive all or any part of an examination, or have an investigation such as a blood test or imaging study. It's called "shared decision making" and I encourage all patients to ask 3 questions if they're ever unsure: What are my options? What are the pros and cons of each option for me? How do I get support to help me make a decision that is right for me?
"Pap smear or cytology—collects cells so they can be checked for changes caused by the human papillomavirus, the most common transmitted infection in the United States." says Jessica Rubin, MD, an OB/GYN with Northwell Health. “HPV causes almost all cases of said cancer, and you’re not at risk of HPV until you’ve been active. When you’re younger, your immune system is so healthy, you’re more likely to clear the virus on your own,” notes Rubin. "Pap tests (or Pap smears) look for cancers and precancers. Precancers are cell changes that can be caused by the human papillomavirus (HPV). If not treated, these abnormal cells could lead to cancer." -Dolly Penn, M.D., M.S.C.R., Medical Officer, Healthcare Assessment Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute; and Abbey B. Berenson, M.D., Ph.D., Director, Center for Interdisciplinary Research in Women’s Health, Professor of Obstetrics and Gynecology, University of Texas Medical Branch
2020 Update 2012 old 2018 former rec. Ages <25 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer
https://www.acpjournals.org/doi/10.7326/M14-0701
Your doctor should explain what they are doing during every step of the exam. If you have any questions or don’t feel comfortable with what they’re doing, don’t hesitate to speak up!
DID YOU KNOW the Tetanus vaccine can last from 14 to 30 yrs against lockjaw; you can still get vaccinated every decade or so
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Date: 15/12/22 Autistic qualities such as differences in how we understand what our body is feeling (interoception), our experience of pain (hypo/ hyper sensitivity) and difficulties in noticing and identifying how we feel (alexithymia) Nurse practitioners and doctors may have a limited understanding of the unique and significant ways in which autism and its associated issues impact a patient’s experience of a given medical procedure. This means that the particular supports that might help to alleviate discomfort could be lacking. We might encounter resistance to our own attempts to self- regulate and take care of our sensory and emotional needs during the appointment. We may even experience medical gas lighting or invalidation when attempting to express our experience or request much needed accommodations ( we know that this happens at higher rates amongst female presenting people, people of colour and those with additional learning disabilities in our community). For those of us with a history of these types of experiences, just being in a medical environment could feel threatening and unsafe. * Autistic person with a particular set of qualities and traits, this is not a prediction of what others might encounter or an attempt to generalise my own experience to the broader community. Date: 15/12/22
Date: 15/12/22 Support Tips: Preparation: in order to best prepare some actions might include ~ Considering your sensory needs- pack a bag with sensory aids such as headphones, earplugs, coloured glasses, stim tools, comfort items and so on to support your comfort whilst at your appointment. Considering your communication needs- perhaps take a trusted friend or family member to support with verbal communication, a hospital passport that you can share with staff or notes including scripted comments or responses that you can refer to during the appointment to support with or replace verbal speech. Wear suitable clothing that can be easily taken on and off. To minimise uncertainty, research what is involved in the procedure before attending so that you have a good idea what to expect. Write out a list of questions to avoid relying on memory during a potentially stressful experience. Plan your travel route in advance and leave plenty of time to get to your appointment to minimise anxiety and allow time to adjust to the environment upon arrival. Engage in calming, grounding techniques prior to the appointment start time. During: whilst at the appointment it may be helpful to ~ Ask for the nurse practitioner to talk you through the procedure in full before it commences, preferably with use of images or demonstrations with relevant equipment. Be open about which aspects of the experience you might struggle with as an Autistic person and request particular adjustments. Engage in grounding techniques such as mindful breathing. Hold on to a stim object that is comforting or acts as a stress reliever. Listen to music to support self-regulation. Share your concerns or worries with the nurse practitioner to invite reassurance or helpful advice. Remember your reason for attending and why it is important for you. Aftercare: following the procedure, it is a good idea to plan in some time for self-care and self-regulation, some ideas might include ~ Get yourself into a sensory safe space where things feel predictable and calm (for e.g. a quiet room with dim lighting, weighted blanket etc). Arrange to debrief/chat to a friend or another supportive person about your experience after leaving your appointment. Arrange to meet with a trusted person following the procedure to support you with getting back home or perhaps to do something you might enjoy together. Engage in your dedicated interest. Acknowledge your achievement in attending and getting through the appointment. Journal about your experience to help with emotional processing. Engage in your favourite stim to release any tension that may remain in your b0dy. Allow yourself to physically rest or sleep once back at home. Date: 15/12/22
Consider these tips to mentally prepare for your exam: Use relaxation techniques or distraction. Relaxation techniques, such as deep breathing, guided imagery and mindfulness, can be beneficial leading up to and during your exam. Also, throughout the exam, you can close your eyes, inhale through your nose for four seconds and then exhale through your mouth for four seconds. You may want to listen to music or watch a video to distract your mind. You also can bring a partner, family member or friend to talk to during the process. Talk to your health care provider. Let your provider know you are nervous and explain how you are feeling. Ask as many questions as you need and seek advice on how to make the exam easier, such as different positions and/or using a smaller speculum to ease discomfort or pain. You can ask your provider to talk you through the exam step by step so that you are prepared for what is about to happen. If you have health anxiety, fear of the unknown or body dysmorphia, it's important to let your provider know so he or she can help you through the exam. Say "stop" if you are in pain. You can ask your provider to stop at any time if you are uncomfortable or in pain. Reward your efforts. Congratulate yourself on what you have achieved by doing something that makes you happy, such as going to lunch with a friend, watching a movie or reading a new book.
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https://www.nature.com/articles/d41586-018-05112-1
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2020 ACS 2012 ACS 2018 USPSTF Age 21‒24 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 and older No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer
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