Also in this playlist...
This transcript is automatically generated
I've been very busy week in women's health first it was the new guidelines that we -- for mammograms and now today.
There's a new recommendation.
In some cases to back off.
On the frequency of having pap smears during gynecological exams in some cases.
This is so long promoted actually is a pattern of annual screening for these cancers and we're raising the question is is the whole way of looking at these screenings.
Changing it dramatically -- -- American College of Obstetricians and Gynecologists now says.
That women should have their first pap smear no sooner.
Then -- when he -- I and then after that every two years and here's another twist it -- thirty.
You have no history of any cervical cancer and you've had three normal tasks over the course of those years.
Then they say you can go three years between the screenings so is -- some medical decision -- -- -- -- cost saver.
Would cutting back on these screenings in some cases be dangerous.
For women let's bring in our panel to very important discussion and some have great -- played after Manny Alvarez is the an OB GY and and managing editor of Fox News health dot com he's delivered many many many many many babies.
And he is -- -- -- our backs medical eighteen did doctor Elizabeth Eden is also an OB GY and I'm sure she's delivered her fair share as well right.
As he's also clinical assistant professor of obstetrics and gynecology at the NYU school of -- has some very Smart -- circus that.
-- him honest with you good good idea bad idea to to you know -- not have a pap -- -- 21 and then space it out.
I think it's a bad idea instinct when he won.
I think a large number of adolescence and sexually active we all acknowledge that and when he -- -- could be five or six years from your first.
Sexual experience and that's enough years where if you are unlucky enough to be exposed to a string of fires that escalates how are you in ages is it's less important than the first the sexual intercourse absolutely so how soon after that would you say somebody should have won.
I would say would about a year mail via weight within within the area -- -- we think about this afternoon.
Well I like the guidelines I think the timing might be bad -- you know because it's not like it's politically.
You know now with the whole Health Care Reform and they that he had a -- story that we did earlier in the week but I think it's a good idea look.
At the end of the day their rates of cervical cancers are not that high in the US second of all.
What has happened in the -- decade is that.
When young people get an abnormal perhaps -- -- many times you could leave it alone you want to do anything.
The doctors have become very aggressive into an all these surgical procedures so when you ending up is it with a lot of mutilated.
-- side insurgencies.
And you have increased -- of preterm deliveries.
And that can be used to be that the problem the march of dime just came out this -- and basically said look we have to do something about preterm deliveries in this country because they haven't changed.
So I think this is a very prudent approach by the American college of will be you and -- look at this very carefully.
Over the last two -- three years that time it was bad because everybody's saying -- but I think it.
And that's not a -- permit because you when you look at the big picture here what you're talking about is really what's been called defensive medicine right there's a pass -- it comes back well maybe a couple of cells -- a little bit abnormal -- one doctor might say let's check -- -- in any year yet another doctor might say you know coming tomorrow and we went to remove a section.
The -- make sure that this is not a cancer that's gonna -- so some people look at that diving and they say at this is a cost cutter.
That this is a way to lower the cost of defensive medicine massive many screenings that so many tests and a lot of people.
-- I worry about that that whole -- Wolf first I.
I -- I wanna say that these.
These screening test not just a pap smear but what the pap smear leads to when you have an abnormal pap smear and you do some biopsies.
These are minor procedures they are risk free procedures.
And I think it's being over.
Well today yeah I have to final scene in the -- -- I create problems in pregnant.
I goes over stated I do I do high risk -- that's all I do I don't even do you know a gynecological care anymore like I have to concentrate might care to high risk pregnancies.
And if you look at certain communities in this country.
You have almost 15%.
Premature birth rates.
That is unacceptable to deliberate -- five cities -- a lot of times it is because a lot of times these women come already with dilated cervix.
On that have to be that they got a lead procedure they got a home biopsy all due to a -- here that maybe perhaps if you talked a lot of UN colleges.
They won't even treated but general gynecologist had -- -- to convey feeling hatred and again that some.
Let me ask kids -- if girls under 21 want to get the screen now either going to be insurance companies district saying no guidelines say -- I -- -- -- -- -- -- -- for a -- that's you know that's concerned -- -- don't know yet but.
It's a concern -- it's -- -- -- on right.
Well I think -- you have criteria -- do an early perhaps they would just basically let the college has said -- right look at you have histories and STV's have anything like that.
I'm going to do it doesn't matter what age drug B eighteen you need to -- -- -- he had a discussion -- I don't think he -- are going to be really bull campaign that because again the cause of the past -- minuscule bit on the save a lot of money I think I.
I'm sorry I think it's really important to note that the procedures that we -- that -- typically are done by experienced gynecologists.
Are not significantly contributing to the premature birth rate in this country.
Hi good evening we have a disagreement then how -- -- let -- the last word I.
I'm quite you know -- -- -- -- -- -- -- and I'm sure you would agree at this everybody has touched on doctor about what's right for that perhaps a bit unfortunate part of that is that it may come that haven't paid for themselves with what we're seeing and going on in and -- With some of the health care reforms -- thank you very much doctors wouldn't be here yeah.
Filter by section