What you Need to Know about Screening for Cervical Cancer

iStock_000001840964XSmallOne of the primary ways to prevent cervical cancer is by having regular screenings to improve the chances of early detection. But how often do you need to be screened and at what age?

Our clinic follows The American Cancer Society, U.S. Preventative Task Force, and American College of Obstetricians and Gynecologists which recommends a cervical cancer screening (or pap smear) at the age of 21, regardless of sexual activity.

  • Women ages 21-29: Pap smear should be done every 3 years. This exam screens for abnormal cervical cells.
  • Women ages 30-65: Pap smear should be completed every 3 years but co-testing with HPV (human papilloma virus) should be completed once every 5 years.
  • Women over the age of 65: Screenings may stop with an adequate screening history, which includes 3 normal pap smears without a history of hysterectomy due to abnormal pap smear.

You can read more on cervical cancer screening guidelines on the Center for Disease Control website.

HPV Screening:

HPV (human papilloma virus) is very common in women under the age of 30. It is not useful to test women under the age of 30 for HPV because most HPV that is found will never cause long term health risks and your body will fight off the HPV within a few years.

Not all types of HPV can lead to cervical cancer. There are two different types of HPV, one type that places you at a higher risk for developing abnormal cervical cells and a low risk type which can cause other symptoms such as genital warts.

  • Women under the age of 30: HPV co-testing should not be completed.
  • Women ages 30-65: HPV is less common in women over the age of 30 who are at an increased risk for cervical cancer. HPV is also more likely to signal a health problem for these women, who may have had the virus for many years.

You can read more on HPV screening guidelines on the Center for Disease Control website at http://www.cdc.gov/vaccines/vpd-vac/hpv/

*Please keep in mind, guidelines are generalized to a large population and may be applied differently to an individual based on a variety of factors. Talk to your provider about what screening methods and recommendations apply to you.


It’s National Men’s Health Week – Make YOUR health a priority!

three-generationsNational Men’s Health Week is celebrated the week leading up to Father’s Day. We are urging individuals, families, and others to work on raising awareness to promote healthy living and encourage early detection and treatment of diseases among men and boys.

Ladies, this means that you can help too. Encourage everyday actions to promote good physical and mental health. Be a role model on how to live healthy as well.

Health week isn’t only to remind you to have your wellness exam, but to remind you to lead by example….

  • Eat healthy
  • Be physically active
  • Have annual wellness visits
  • Get vaccinated
  • Be smoke-free
  • Prevent injuries
  • Sleep well
  • Manage stress

Remember to exercise – Adults need at least 2.5 hours of moderate intensity aerobic activity such as brisk walking every week, and muscle strengthening two or more days a week. Remember, you don’t have to do it all at once, spread your activity out during the week, or break it into smaller chunks during the day. If you have questions about exercising then ask your primary care provider how you should start. Always remember to listen to your body, and don’t overwork yourself if you are just starting out.

Eat Healthy Eating a variety of fruits and vegetables gives you energy, and are great sources for vitamins, minerals, and other natural substances that help protect you from diseases. Limit the amount of food and drink that are high in calories, sugar, salt, fat, and alcohol. Choose healthier snacks – nuts, apples, grapes, or snacks high in protein.


Tame your stress Sometimes stress can be good (sometimes!). However, it can also be harmful to your health. It can make you feel overwhelmed and out of control. Avoid drugs and alcohol, which can worsen stress. Take charge of your health, and find an outlet that is best for you – running, kickboxing, swimming, yoga, meditating. Take 15 minutes out of each day for yourself – Sit in a quiet room with no TV, cellphone, or children and take a few deep breaths. RELAX!

Wellness Checklist for Men

  1. Cholesterol – High cholesterol is one of the major risk factors for heart disease. Have you had your cholesterol checked this year?
  2. Blood pressure – High blood pressure increases your chance of developing heart or kidney disease, and increases your risk for stroke. If you have high blood pressure, you may need medication to control it.
  3. Colorectal Cancer – Beginning at age 50, through age 75 (depending on other risk factors present that your primary care provider will determine) you need to get tested for colorectal cancer. It is a great primary screening tool.
  4. Prostate Cancer – Starting at the age of 50 (depending on other risk factors present) you may want to talk to your provider about a prostate cancer screening, and if it is the right choice for you.
  5. Sexually Transmitted Diseases – Talk to your provider to see if you are at risk for developing sexually transmitted diseases, and ask about testing.
  6. Diabetes – If you have a family history of diabetes, or are overweight you may be at risk for developing diabetes. Ask your provider about screening tools, and ways to prevent and decrease your risk for diabetes. Diabetes can affect your heart, eyes, feet, nerves, and other body parts.
  7. Tobacco use – If you smoke or use tobacco, talk to your provider about quitting.
  8. Vaccinations – Get up to date on your vaccinations to protect you, your loved ones, and the community. Ask your provider which vaccinations you may need to stay healthy.
  9. Testosterone screening – May be indicated for some, but not all men.

Scheduling an Annual Wellness Visit with your family medicine provider is the best way to start these conversations and starting taking control of your health and wellness.


Sun Safety – Protecting your family in the Texas sun

As wsunburn cartoone enjoy more bright and sunny days, the risk of sunburns and skin damage rises for everyone.   Take these steps now and your skin will thank you in the long-run.

Ultraviolet (UV) rays from the sun or indoor tanning damage the skin. Even a tan is a response to injury, not an indication of good health, as some may perceive. There are many risk factors that can contribute to sunburns, and skin cancer including: family history of skin cancer, sun exposure sun through work and play, history of sunburns (especially early in life), history of indoor tanning, freckles, skin reddens easily or becomes painful in the sun, if you have blue or green eyes, blonde or red hair, and certain types of moles and/or a large number of specific types of moles.

Now that you know your risk factors for UV damage the next step is reducing your risk.sunscreen

Protection from UV rays is important all year round, not just during the summer months. UV rays from the sun can reach the Earth on a cloudy, hazy day as well as bright and sunny days. UV rays also reflect off of surfaces such as water, cement, sand, and snow. The hours between 10:00am and 4:00pm during late Spring and Summer are the most hazardous for UV exposure outdoors in North America.

The Center for Disease Control and Prevention (CDC, 2014) recommends easy options for protection from UV radiation for adults and children.

  • Stay in the shade during peak hours (10:00am to 4:00pm) Plan indoor activities with children during this time unless you can be under an umbrella, seek shade under a tree, or under a pop up tent. An infant’s best defense is sun avoidance.Smiling-Sun-dreamstime_144972-440x372
  • Wear clothing that covers your arms and legs. Long sleeve shirts and pants may not always seem practical in the Texas summer, but a t-shirt, long shorts, a beach cover-up are good choices too. It is wise to double up on protection by applying sunscreen in the shade when possible.
  • Wear a hat that has a brim to protect your eyes, head, ears, and neck. Baseball caps do not protect ears and neck, so you must apply sunscreen in those exposed areas.
  • Wear sunglasses that wrap around and offer both UVA and UVB protection.
  • Use Sunscreen with sun protective factor (SPF) 15 or higher and UVA a/UVB protection. Plan ahead, keep a spare bottle of sunscreen in the car, in your purse, or a child’s backpack. For best protection apply sunscreen generously 30 minutes prior before going outdoors. Don’t forget to protect your ears, nose, lips, and the top of your feet! Always follow the directions on the package. All products do not have the same ingredients. If you or your child’s skin reacts to a product, call your primary care provider and avoid that product.
  • Reapply sunscreen.   Especially if outdoors swimming or exercising. This applies to both water resistant and waterproof products as well.
  • Avoid indoor tanning beds and booths.

Try combining sunscreen with other options such as hats, sunglasses, and shade options to prevent UV damage!

Managing Osteoarthritis

Osteoarthritis (OA) is the mosteoost common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage on the ends of the bone wears down over time. It most commonly affects joints in your hands, knees, hips and spine.

Osteoarthritis can gradually worsen over time, and there is no current cure for it. It can cause chronic pain, reduce physical function, and diminish quality of life.

An increase in knee OA has been recently tied to an aging population and the prevalence of obesity. However, recent studies have shown that staying active, maintaining a healthy weight, and exercise therapy may slow progression of the disease and help improve pain and joint function.

Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include joint pain, tenderness, stiffness, loss of flexibility, grating sensation and bone spurs (hard lumps around the affected joint)

OA is more prevalent in females, but other risk factors include old age, obesity, joint injuries (from sports, car accidents, etc), certain occupations (tasks that place repetitive stress on a particular joint), family history, and other chronic diseases such as diabetes, gout, and rheumatoid arthritis.

OA is diagnosed by a clinical exam, and or x-rays of the affected joint. An x-ray may show narrowing of the space between the bones in the affected joint. It may also show bone spurs around the affected joint. Specific blood tests may also be ordered to rule out other disorders such as rheumatoid arthritis or gout.

There’s no known cure for osteoarthritis, but treatments can help reduce pain and maintain joint movement. Exercising and achieving a healthy weight are the best and most important ways to treat osteoarthritis. This can include a multitude of therapies such as:

  • Physical therapy. A physical therapist can work with you to create an individualized exercise program that will strengthen the muscles around your joint, increase your range of motion and reduce pain.
  • Occupational therapy. An occupational therapist can help you discover ways to do everyday tasks or do your job without putting extra stress on your already painful joint. For instance, a toothbrush with a large grip could make brushing your teeth easier if you have finger osteoarthritis. A bench in your shower could help relieve the pain of standing if you have knee osteoarthritis.
  • A chronic pain class. The Arthritis Foundation and some medical centers have classes for people with osteoarthritis and chronic pain. Check with the Arthritis Foundation for classes available in your area. These classes teach skills that help you manage your osteoarthritis pain. And you’ll meet other people with osteoarthritis and learn tips and tricks for reducing and coping with joint pain.

Home remedies and at-home treatments:

Exercise and Stretching. Exercise can increase your endurance and strengthen the muscles around your joint, making your joint more stable. Try light walking, biking or swimming which is easier on the joints. You can also do home stretching, and or yoga exercises.

Weight Management. Being overweight or obese increases the stress on your weight-bearing joints, such as your knees and your hips. Even a small amount of weight loss can relieve some pressure and reduce pain. Most people combine changes in their diet with increased exercise.

Use heat and cold to manage pain. Both heat and cold can relieve pain in the joint. Heat also relieves stiffness, and cold can relieve muscle spasms and pain.

For more information on osteoarthritis, or if you and someone you know suffers from joint pain and discomfort, contact your provider for a more in-depth discussion on evaluation, treatment, and therapy. Remember, there are ways to cope and decrease your chronic joint pain and discomfort, and we are here to help.



Welcome to our blog!  We know there is an abundance of medical and health-related information out there and it’s hard to know who to trust. We started this blog with the mission to serve as a trusted source in healthcare topics, and to provide guidance through science-based research and studies.

In our practice, we are passionate about caring for people throughout their lifetime.  We believe in prevention, education and providing patients with relevant, research-based facts to help them make the best possible treatment and healthcare decisions for a healthy and active lifestyle at every age.

We will cover a range of topics and hope you will engage with us through comments and questions.