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Are You at Ris​​k for Cervical Ca​ncer?

Pap tests and other well-woman screenings can uncover irregularities.


“A Pap test and pelvic exam can help detect abnormalities that may lead to cancer of the cervix,” says Joyce Holz, M.D., a board-certified physician specializing in Gynecology at Kelsey-Seybold Clinic. “When detected in the early stages, treatment is more likely to be successful and offers better outcomes for the patient.”

Dr. Holz recommends that women should start having pelvic exams and Pap smears by age 21 or within three years of becoming sexually active and continue having their annual well-woman exam. Screening for human papilloma virus (HPV) should be performed will be performed at least once for women 13-64 years old.

After age 65, women who have had at least three normal Pap tests with no abnormal results may want to speak with their doctor about discontinuing cervical cancer screening.

“Infection from HPV, which is sexually transmitted, is responsible for many cases of cervical cancer,” Dr. Holz says. “In some instances, there are no noticeable symptoms – and that’s another reason regular well-woman exams are so important.”

Other risk factors may include smoking, a suppressed immune system and sex partners indulging in high-risk activities.

“The incidences of cervical cancer, and deaths attributed to it, are decreasing in the United States. However, unless your physician tells you differently, Pap screening should be considered an integral part of a woman’s routine health care,” concludes Dr. Holz.

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Joyce Holz, MD

​I seek to build a partnership with patients through listening, discussion, and education that serves as a base for the maintenance or improvement of women's health issues. Using state-of-the-art medical and minimally invasive surgical techniques, I strive to help patients quickly return to their busy, productive lifestyles.