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Home > Women's Services > Medical Services 


Obstetrics and Gynecology
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¢ Find a St. John's OB/GYN
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¢ Nurse Practitioners

An obstetrician-gynecologist is a physician who specializes in the field of women’s health, specifically dealing with reproduction and the reproductive organs.

OB/GYNs spend four years in training dedicated to these issues of women’s health after graduating from medical school.

OB/GYNs provide care and counseling before, during and after pregnancy as well as oversee and assist in the labor and delivery process. They provide many preventive health services for women as well as manage medical and surgical problems related to the female organs.

Preventive Screenings

Under Age 40:

Breast: Exam by a health care professional every three years, age 20 and over and self-exam every month, age 20 and over.

Uterus: Pelvic exam every one to three years with Pap test, age 18 and over. All women who are, or have been sexually active, or have reached age 18, should have an annual Pap test and pelvic examination. After three or more consecutive satisfactory examinations with normal findings, the Pap test may be performed less frequently at the discretion of your doctor. \

¢ Pap tests and pelvic exams  to screen for cervical cancer and other women's cancers are available to all women. Click here for information about programs that provide free or reduced-cost cancer screenings for uninsured and/or low-income women.

¢ Young women and girls should receive the human papillomavirus vacccine. HPV is the most common cause of cervical cancer. The vaccine, Gardasil, is approved for use in girls and women 9-26 years of age and is most effective when given before the onset of sexual activity. The vaccine is administered as three injections over a six-month period and contains no live virus. Since the vaccine is new, the FDA is still researching how long it protects against HPV and whether a booster is needed after a few years.

The Missouri Foundation for Health recently committed $11 million to purchase enough HPV vaccine so that every uninsured and underinsured Missouri girl and woman ages 9-26 can receive the vaccine for free. Visit www.mohpv.org for more information.

40 and Over:

A cancer-related checkup every year should include the procedures listed below plus health counseling and examinations for cancers of the thyroid, testicles, mouth, ovaries, skin, and lymph nodes. Some people are at higher risk for certain cancers and may need to have tests more frequently.

Breast: Exam by a health care professional every year, self-exam every month, screening mammogram (breast X-ray) yearly.

Uterus: Pelvic exam every year with Pap test. After three or more consecutive satisfactory examinations with normal findings, the Pap test may be performed less frequently at the discretion of the doctor. Endometrial tissue sample at menopause, if at high risk.

50 and Over:

Colon and rectum: Fecal occult blood test every year and flexible sigmoidoscopy* every five years or colonoscopy* every 10 years or double-contrast barium enema* every five to 10 years.

* A digital rectal exam should be done at the same time as sigmoidoscopy, colonoscopy, or double-contrast barium enema. Those with high risk factors should check with their doctor.

 


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