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It's very confusing week to be a woman first the controversial new guidelines for mammograms now another major shift involving women's health.
The American college of obstetricians and psychologists.
Women do not need to start cervical cancer screening until the age of 21 and most -- not be an annual pap smear.
This is a dramatic shift from what women have been told for years here to debate this is doctor Cathleen London.
A family practice physician and doctor Marc Siegel Fox News medical contributor and part of the Fox News medical -- team doctors thanks for being here this morning good morning.
Doctor I don't -- let me start with you used to -- you have to get a pap -- within three years of becoming sexually active possibly earlier.
In 21 hand you had to get one done annually.
That of course has changed much to change an -- people are suspicious.
Of the timing of this doctor -- -- now.
Well first well -- to get into the medicine that in a minute but I wanna talk about the timing I'm very concerned about that because guidelines.
Are things that I don't think really applied to regular medical practice -- we tend to try to ignore them.
Or keep them in the background but suddenly they're so -- getting all this attention you know why.
Because as we go forward with health reform we're gonna see more and more mandates more and more commissioners.
More and more committees that are going to have to look the guidelines to decide what insurance can cover.
Now the -- they chose this week are particularly bad we talked about mammograms.
This is another bad one let me tell you why 500000.
Women in the world get cervical cancer every year 288000.
Die from it.
80% of that is in developing countries here in the United States only 111000 women.
Get invasive cervical cancer be cause of pap tests since 1955.
The interest in the use of pap test.
Had cut down dramatically by 75%.
At that age group you're talking about.
From when you become sexually active 221 that's when you can get sexually transmitted diseases you can have multiple partners Unionist position.
A gynecologist to decide what you need to pap test and how often and women come in regularly thinking they're gonna get their pap -- if they don't get their pap tests they made a command.
Okay you make a very convincing case doctor Seigel doctor London I know that you support these new guidelines why.
So all I have the emotional reaction or you know this is very different than -- than what we've done in the past.
I also eight Capital One of the bodies that that this guidelines I'll be very interested to see what B -- SEC piece that that's the American society for -- and cervical pathology.
-- actually reflect some of what they already did and we are already in women.
Who are in a stable monogamous relationship who have had normal pap smears we already do the three year pap smear that does not mean we don't do -- pelvic exam.
And particularly if you're under twenty find the majority of gonorrhea and chlamydia is in that population so this is not setting.
Don't go into the doctor don't see your gynecologist don't have a pelvic exam.
It's saying that we do too much to women.
And -- say that I did that I probably -- Why these guidelines yeah I am doing too many prophecies which is an invasive and uncomfortable house right bank and -- -- to -- doing treatment that.
On that very subject let me read you an interesting passage from the Washington Post article today it says the American college of obstetrics and gynecologists.
Recommend a change after concluding.
Bit more frequent testing did not catch significantly more cancers and often resulted in girls and young women.
Experiencing unnecessary stress anxiety and sometimes.
Harmful treatments because of suspicious growths that would not cause the problems and here's the kicker doctor -- Those suspicious -- and abnormalities often go away on their own well treatment necessary Allison and -- I totally disagree with that but -- by the way that that statement from the Washington Post -- -- already given -- the statistics to prove that.
But let me talk about why federal guidelines are a really insensitive you know what.
You're really talking there about doctors overreacting to pap test results.
That's a different issue I want to know whether when I have an abnormal pap test -- one of my patients.
Then I can decide what to do how to proceed we have an HPV.
Problem right now it's an epidemic in the United States.
Over 80% of women become HPV positive that's venereal warts or have sex doesn't mean -- can't can't car no but the reason they don't.
-- can't -- the reason they don't get cancer is because of the screening screening for abnormal cells careful follow up if gynecologists are doing to medical costs could be gratuity invasive test that's the problem that should be addressed not getting rid of the screening test.
Don't throw the baby out with the bath water.
London it sounds like doctor Siegel is saying that more women will die as a result of these new guidelines does that worry you and that is not.
Now that is not the case at -- as he -- himself 80% of cervical cancers are in developing countries.
Not here in the United States and if that's because it's women who don't get it half in five years or have never had one but what's your.
Senator population that we worry about what you -- the message will clear HPV on their own and not develop.
In case you didn't you tell without the originated if you tell the headline here is if you tell women under the age of 21 that they -- -- Baptist.
Maybe they're not gonna come in at all and B they're not gonna suddenly started -- -- help.
They need to have this kind of -- the question is how often an idea how that's playing chlamydia screening the art of medicine actually part of medicine is to decide how often -- -- it happens that's the art -- -- should not be part of a federal drug.
Here's another issue that doctor -- that I want -- -- this first year of just listening to if you shoes.
To get a pap smear every year just for peace of mind -- you think your risk that your insurance will not pay for it anymore.
I don't think that just based on a -- -- -- guidelines that will happen again the AFC CK is probably.
Which is that group that has pathologists who read the pap smears.
Has gynecologist says Billy Madison has oncologists.
That group's guidelines ten to dictate more.
And they've been much more aggressive in their policy but the last that -- guidelines came out 2006 I know they've been working on new guidelines they think that -- -- position.
Will factor into it but I don't think they're going to be quite as can serve -- -- OK -- -- -- -- -- to sit back -- -- a signal that we -- cost -- -- insurance companies -- -- -- I don't know if we're getting their health choices commissioner or not but if we are that person is going to be using guidelines like there's.
To tell insurance companies not to cover pap -- it's going to be a huge problem.
We're gonna see insurance tonight Pappas as a result.
Doctor Seigel doctor London thanks so much for coming into debated very hot issue very confusing week for women -- also.
Great debate and I.
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