Prevention Program in Tenafly, NJ

Sure Pap, Thin Prep Pap

Sure Pap and Thin Prep Pap tests are the newest and most accurate screening tests for detection of cervical abnormalities, HPV and sexually transmitted diseases. Many of these abnormalities have no symptoms, making regular screening important to your health.

Gardasil

Gardasil is the human papilloma virus (HPV) vaccine given to young women ages 9 to 26 to help protect against cervical cancer and genital warts. Since it does not prevent all types of cancer, routine pap smears are still important. It is given as 3 injections over a 6 month period.

Breast cancer

Breast cancer risk assessment is very important. Your risk of breast cancer can be determined by a statistical model known as the “Gail Model.” The model uses personal history, reproductive history, and the history of breast cancer among first-degree relatives.

Breast cancer may also be caused by inherited gene mutations. Hereditary breast cancers account for approximately 5 to 10% of all breast cancers. Testing for gene mutations (BRCA1 and BRCA2) are available for high risk patients. Breast cancer screening tools include the mammogram, magnetic resonance imaging (MRI), and ultrasound. Biopsies are performed for abnormal screening images and/or breast lumps found on the exam.

Contraception

  • Oral contraceptive pills

  • Depo Provera – 3 month hormonal injection

  • Implanon – hormonal implant under the skin of the upper arm, good for 3 years

  • Intrauterine Deuce (IUD) – we have both the Mirena and the Paragard. The Mirena contains the hormone progesterone and is effective for 5 years. It also has the added benefit of decreasing the amount of menstrual flow. The Paragard is the copper based IUD which is effective for up to 10 years.

  • Essure – is a tubal sterilization procedure which is highly effective and permanent. There is no cutting in the body. Instead, spring-like coils are inserted into the fallopian tubes through the body’s natural pathway.

Osteoporosis Screening

Approximately one in seven women over age 50 has osteoporosis. About one half of all women can be expected to suffer a related fracture during their lifetime.

The gold-standard for screening and diagnosis is the DEXA (x-ray) which measures bone mineral density in the lumbar spine and hip.

All post menopausal women should consume adequate amounts of calcium and vitamin D. Regular weight-bearing and muscle-strengthening exercises are recommended as well as avoiding smoking and excessive alcohol intake.

Current options for prevention and/or treatment are biphosphonates, calcitonin, estrogens, raloxifene and parathyroid hormones. Our doctors will perform a detailed history and risk assessment for you and discuss with you the best available options for reducing your fracture risk.