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Article Category: Highlights

Lower Your Risk & Recognize Signs of Gynecological Cancer

Published on September 27, 2021

Last updated 08:28 AM August 24, 2023

Woman stretching on the floor with a set of dumbbells and hand weights.

In recent years, most cervical cancers have become completely preventable with a vaccine, and there are screening tests to identify it early. However, it’s important for women to understand the warning signs of gynecological cancers that don’t have screening tests, such as:

  • Endometrial (uterine) cancer
  • Ovarian cancer
  • Vaginal cancer
  • Vulvar cancer
  • Other rare types

Lower your risk for gynecological cancer

At your annual women’s health appointment, it’s important to talk to your healthcare provider about your family history and lifestyle choices that can make a positive impact on your health. Here are some ideas to consider lowering your risk for different types of gynecological cancer:

  • Share your family history with your healthcare provider. Only about 5 to 10% of gynecological cancers are genetic, according to Wellstar Gynecologic Oncologist Dr. Amy Carroll. However, some patients may benefit from genetic risk assessment, which looks for hereditary gene mutations that increase an individual’s risk for ovarian cancer.
  • Maintain a healthy weight or lose weight. Women who are overweight have a higher risk of being diagnosed with the most common type of endometrial (uterine) cancer– and for the cancer to return after treatment. This is a challenge for many people and your health providers want you to feel empowered–not embarrassed–to discuss your BMI, nutrition, weight reduction and wellness.
  • Stay tobacco-free or quit tobacco. Again, many health providers can help women with education and resources to quit smoking or vaping for the long haul. Quitting tobacco can reduce your risk for some gynecological cancers and many other health conditions.

Watch for changes in your body & talk to your doctor

Because there are no screening tests for gynecological cancers other than cervical cancer, it is important for women to be educated on the signs and symptoms—and to act on them.

“Unfortunately, there are many vague symptoms associated with a lot of gynecologic issues,” Dr. Carroll said. “Typically, I tell people if you have any symptom that doesn’t come and go but persists for a couple weeks or more, it’s worthwhile to talk to somebody about it.”

Dr. Carroll said that one symptom patients should always discuss with their provider is post-menopausal bleeding. Also, while most people experience occasional bloating, persistent bloating can be a sign of ovarian cancer and should be discussed with a provider, she said.

Signs & symptoms of gynecological cancer

Some gynecological symptoms to discuss with your doctor include:

  • Vaginal bleeding after menopause
  • Excessively heavy menstrual cycles
  • Abnormal bleeding between periods
  • Unexplained pelvic or abdominal pain, bloating or nausea
  • Discharge or pain with intercourse
  • Severe change in bowel or bladder habits
  • A heavy feeling in the pelvis
  • A sore or lump in your vulva

The highest level of treatment for gynecological cancer

The physicians and healthcare teams at Wellstar are focused on keeping women healthy and preventing and lowering the risk of cancer and other health conditions. However, when a woman does get gynecological cancer, she has access to a team of experienced and knowledgeable gynecological cancer experts close to home.

Our gynecologic cancer care program includes:

  • A gynecological cancer-specific multidisciplinary tumor conference where gynecological oncologists, radiation and pathologists meet to diagnose and plan treatment.
  • Gynecologic cancer surgeons who perform procedures robotically, laparoscopically or as open procedures, based on evidence-based practices that lead to the best outcomes.
  • A robust support network that includes cancer-specific nutritional counseling, genetic counseling, nurse navigation, psychological counseling and more.
Wellstar Research Institute and Northwest Georgia Oncology Centers work closely with select local and national partners to give patients access to the latest clinical trials without leaving their communities.

Most health plans cover preventative care services—like vaccines and screening tests—at no additional cost. For people without insurance, Wellstar practices have low-cost annual exams that include evaluation for cervical cancer and a Pap test if it is medically appropriate. To find a physician, call (770) 956-STAR (7827) or schedule online by clicking the “Book Now” button at the top of any page.

Learn more about gynecological cancer

Take control of your health and learn easy ways to prevent and screen for cervical cancer.

If you have any symptom that doesn’t come and go but persists for a couple weeks or more, it’s worthwhile to talk to somebody about it.

- Dr. Amy Carroll

Wellstar Gynecologic Oncologist

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Amy Rae Carroll Cancer Care Womens Health
Primary Care
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Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

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4 Common Questions About Gynecologic Cancer—Answered

The gynecologic oncologists at Wellstar care for women at all stages of life, treating a variety of conditions with compassion and offering advanced care options. Our team are experts in treating cancers such as uterine, ovarian, cervical, vaginal and vulvar cancers. Here, we answer common questions about gynecologic cancer care with the help of Dr. Rosa Miller Polan, a gynecologic oncologist at Wellstar Cobb Medical Center. 

What is a gynecologic oncologist?

Gynecologic oncologists are specialists trained in the multidisciplinary management of patients with cancers of the female reproductive tract. Trained originally in obstetrics and gynecology, gynecologic oncologists treat patients with complex benign gynecologic issues, as well as gynecologic cancer patients who may need surgery, chemotherapy, immunotherapy or a combination of different treatments. 

When should you seek care?

Gynecologic cancers have different warning signs. When a person experiences concerning symptoms, a physical exam, including a pelvic exam, should be performed. Cervical and vaginal cancer symptoms include abnormal vaginal discharge, vaginal bleeding and pain. The most common warning sign for uterine cancer is abnormal vaginal bleeding. In postmenopausal women, any bleeding or spotting is abnormal and should prompt an evaluation. 

Ovarian or fallopian tube cancer symptoms include bloating, constipation, pelvic or abdominal pain and difficulty eating or feeling full quickly. Vulvar cancer symptoms include itching, burning, discoloration, and new bumps or lumps on the skin outside of the vagina. 

Who is at risk for developing gynecologic cancer?

Women who smoke cigarettes are at elevated risk for cervical, vaginal and vulvar cancer development. People who are immunosuppressed and those who have tested positive for the human papillomavirus (HPV) are also at increased risk. Genetics can contribute to the development of uterine, ovarian or fallopian tube cancers and these types of cancers can run in families. Obesity and use of hormone replacement therapy can put women at risk for the development of uterine, ovarian and fallopian tube cancers. A history of infertility, endometriosis and pelvic radiation are also risk factors for developing gynecologic cancer. 

What services are available at Wellstar?

At Wellstar, gynecologic oncologists provide comprehensive care for patients with gynecologic cancers, including administering chemotherapy and performing surgeries when needed. As high-volume pelvic surgeons, gynecologic oncologists also care for patients who need elective and emergent complex benign gynecologic surgery.

For many patients, robotic-assisted surgery offers a minimally invasive approach with less associated blood loss, shorter hospital stays and fewer post-operative complications. Gynecologic oncologists are some of the top users of the innovative DaVinci 5 robotic surgery platform. Performing complex gynecologic cancer surgeries, minimally invasive or otherwise, requires the type of highly specialized and multidisciplinary teams that work at Wellstar—and an infrastructure of resources to ensure patients have access to best-in-class care in their own backyard.

Learn more about gynecologic oncology at Wellstar at wellstar.org/gyncancer. 

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Team Up with Wellstar to Fight These Men’s Health Issues

If you’re a sports fan, you’re probably glued to every game, rooting for your team and analyzing every play. But are you as vigilant with your own health? 

In addition to knowing your health stats—those important numbers like blood pressure, cholesterol and blood sugar—you should also watch for health conditions that more commonly impact men. 

An annual physical gives you the opportunity to ask your clinician questions about your health, and you’ll get a few quick, crucial health screenings that can catch issues early and put you on track for staying well.

“See your primary care provider at least once a year to check in on your well-being and stay up to date on essential screenings you may need,” said Wellstar Primary Care Physician Dr. Facia Dew. “Your provider will customize care based on your health history, age and other factors to help you feel your best.”

Take action against illness

Some illnesses are more likely to affect men than women, so men should be especially mindful about taking steps to prevent these issues:

Lung cancer

Men are slightly more likely to get lung cancer—the lifetime risk for men is 1 in 17, while it’s 1 in 18 for women, according to the American Cancer Society. Black men are about 12% more likely to develop lung cancer compared to white men. Decrease your risk of lung cancer by avoiding smoking.

With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. An order from your healthcare professional is required for a lung cancer screening. Contact your Wellstar primary care team or a pulmonologist to discuss if screening is right for you.

Parkinson’s disease

Men are 1.5 times more likely than women to have Parkinson’s disease, according to the Parkinson’s Foundation. Wellstar neurologists and neurosurgeons are experts in helping patients manage this condition.

Kidney stones

The risk of kidney stones is about 11% in men and 9% in women, according to the National Kidney Foundation. You can reduce your risk of kidney stones by staying hydrated and eating a low-sugar, low-sodium diet. Your care team can help you evaluate your risk factors, including personal and family history, obesity and being 40 or older. 

Prostate cancer

While all men are at risk for prostate cancer, Black men are more likely to get prostate cancer and are more commonly affected at younger ages. Men who are 50 or older should ask their doctor about testing, and Black men should discuss testing with their care team at age 45. If you have a family history of prostate cancer, you should also consider screenings at a younger age, and your healthcare professional will discuss options with you. 

Form healthy habits

According to Wellstar Urologist Dr. Scott Miller, men need to stay active and stay away from smoking. He also noted a few lifestyle changes that are sometimes overlooked can make a difference in how you feel.

“What’s often neglected is a full and consistent night’s sleep,” Dr. Miller said. “And keep stress under control—too much stress can negatively impact our immune systems.” 

Find a primary care professional near you.

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