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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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Wellstar Spalding Medical Center Opens Cancer Center in Griffin

GRIFFIN, Ga. — Community leaders joined hospital executives Thursday as Wellstar Spalding Medical Center held a ribbon-cutting ceremony to officially open its new cancer center, improving access to oncology and infusion services for patients in Spalding County and the surrounding region.

The 6,475-square-foot expansion nearly doubles the hospital’s cancer treatment space and includes eight exam rooms, 14 infusion chairs, two blood draw stations, a dedicated lab, triage room, waiting area and administrative offices. An on-site infusion pharmacy will support chemotherapy, immunotherapy, targeted therapies and other outpatient treatments.

Care at the Wellstar Spalding Cancer Center is provided in partnership with Northwest Georgia Oncology Centers (NGOC), with additional support from an oncology nurse navigator who coordinates care and guides patients through treatment.

“People should be able to receive high-quality cancer care close to home,” said Kevin Smith, president of Wellstar Spalding. “By expanding both our cancer services and the specialties that support early detection and treatment, we’re making it more convenient for our patients to get the care they need.”

NGOC oncologist Dr. Dhivya Prabhakar has joined the Wellstar Spalding Cancer Center, further enhancing access to oncology care. She will be joined by a second oncologist this summer.

“What matters most to patients is feeling supported and understood throughout their cancer journey,” Dr. Prabhakar said. “With this expansion, people can stay in their community surrounded by a care team that knows them, listens to them and helps them navigate every step with clarity, compassion and hope. Our goal is to meet people where they are and partner with them in their care so they never feel alone in the process.”

Hospital leaders also highlighted growth in related services since the project began. Wellstar Spalding now offers endocrinology, which plays a key role in identifying endocrine-related cancers such as thyroid, adrenal and some pancreatic tumors. The hospital has also added a general surgeon specializing in breast surgery, expanding local options for evaluation and surgical care.

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Helping Patients Screen for Colon Cancer Through ColoCare Connect

When caught early, colorectal cancer is much more treatable, yet many people face barriers that prevent them from getting screened. Through the ColoCare Connect Program, Wellstar is working to make preventive care more accessible for communities who need it most.

In 2024, Cobb & Douglas Public Health, with support from the Wellstar Foundation, provided funding to expand colon cancer screening across Cobb and Douglas counties with the launch of ColoCare Connect. The community-based program, led by Wellstar Center for Health Equity and the Community Health team, focuses on education, resources and supplying at-home screening tests with the help of trusted local clinics.

Meeting patients where they are

Instead of patients having to navigate additional appointments, ColoCare Connect partnered with community clinics that were already providing care. These included BWell Medical & Wellness Center, Someone Cares, Bethesda Community Clinic and The Rouse Foundation.

Our partners provided patients with fecal immunochemical tests (FIT kits) that allowed them to complete colorectal cancer screening at home. During the grant period alone, the program distributed 435 FIT kits.

A strong community partner: BWell Medical & Wellness Center

One example of ColoCareConnect’s impact is BWell Medical & Wellness Center, which distributed more than 100 FIT kits and continues to collaborate with Wellstar to help people get screened.

The clinic serves a diverse population that includes working families, the elderly, underserved residents and people living in assisted living or personal care homes.

“Our focus is on accessible, patient-centered care that emphasizes prevention and early intervention,” said Vivian Adu-Aboagye, director of BWell Medical & Wellness Center. “Many of our patients face barriers such as transportation challenges, time constraints or limited access to preventive services.”

The partnership stood out because it offered a practical and patient-friendly solution.

“Many patients delay colon cancer screening due to fear, cost concerns or scheduling challenges related to their colonoscopy,” she added. “The FIT kits provide a convenient option that fits naturally into routine primary care visits.”

Making screening part of everyday care

At BWell, team members speak with patients during their visits to determine if they need colorectal cancer screening. They provide education and distribute kits during appointments, then follow up about returning the kit.

Patients have said they appreciate the privacy and convenience of the kits. Many of them had previously avoided screening due to concerns about invasive procedures or difficulty taking time off work. By removing common barriers, like transportation challenges, scheduling conflicts and fear, patients who may have otherwise skipped their colon cancer screenings were able to get checked.

Building toward healthier communities

ColoCare Connect demonstrates the power of community partnerships in advancing health equity. By equipping trusted local clinics with resources and support, the program expanded access to life-saving screening.

As the program continues, partnerships like these help ensure that more individuals have the opportunity to participate in early detection and receive follow-up care when needed. This ultimately improves outcomes and strengthens community health across the region.

Connecting patients to ongoing support

Screening is an important first step, but access to information and support beyond the clinic is also critical. Community members can use Wellstar Find Help to locate colorectal cancer screening programs, patient navigation services and financial assistance resources available in their ZIP code. 

If your screening has an abnormal result, care teams can help coordinate next steps, answer questions about a colonoscopy and identify financial assistance options when needed. By pairing clinic-based screening with community-based support resources, Wellstar and its partners are working to ensure patients do not have to navigate the process alone.

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How Wellstar’s Cardio-Oncology Program Protects Heart Health During Cancer Care

Cancer treatment can save lives—but for some people, it can also be hard on the heart.

Wellstar's Cardio-Oncology Program provides specialized care to address this risk. The program offers cancer-focused heart care that helps protect cardiovascular health before, during and after treatment.

Our cardio-oncology experts support people with cancer who have heart disease, are at high risk for heart problems or are receiving therapies that may affect heart function. By monitoring heart health and coordinating care, we help people receive the most appropriate cancer treatment while reducing the risk of heart complications.

Expertise in heart disease and cancer care

Researchers have identified a connection between cancer care and cardiovascular health, leading to the creation of cardio-oncology. At Wellstar, this specialized care is available in metro Atlanta and Augusta, expanding access for people across Georgia.

“Cardio-oncology exists because more people are surviving cancer and living long enough to face heart-related complications,” said Dr. Avirup Guha, a board-certified cardio-oncologist at Wellstar Georgia Cancer Center and the first designated fellow of the International Cardio-Oncology Society in Georgia. “For some patients, cancer treatments can damage their heart. For others, they may have existing cardiovascular disease that needs careful management during cancer care. That requires expertise beyond cardiology—knowing how to modify therapy without causing harm.”

Cardio-oncologists are cardiologists with advanced training in how cancer therapies affect the heart. They help guide treatment decisions and work closely with oncology teams to ensure patients receive safe, effective care.

“A lot of oncology treatments are very effective for cancer, but the heart can become an innocent bystander,” said Wellstar Cardio-Oncologist Dr. Nikolas Krishna, who also specializes in advanced heart failure and transplant cardiology. “We advocate for these patients so their oncology and cardiology teams work together for the best possible outcome.”

Coordinated, team-based care

Multidisciplinary collaboration is central to Wellstar Cardio-Oncology. Cardiologists, oncologists, nurse navigators and other specialists communicate directly to align care and support both cancer outcomes and heart health.

“Our program helps address complications before they happen and streamlines care so people aren’t going back and forth between specialists,” Dr. Guha said.

Wellstar Cardio-Oncology teams partner with patients and families to understand risks and create a personalized plan. This may include imaging, blood tests and ongoing monitoring to detect early signs of heart conditions during chemotherapy, hormone therapy or radiation.

Additionally, Wellstar Cardio-Oncology nurse navigators—registered nurses with advanced training—provide compassionate guidance throughout the care journey.

“Nurse navigation plays a key role in educating patients and making sure they .understand their care plan,” said Dr. Guha. “It’s all about communication.”

Who can benefit from cardio-oncology care

Cardio-oncology care supports people from diagnosis through survivorship, especially when treatments or existing conditions may affect heart health.

You may benefit from cardio-oncology services if you have cancer or were treated for cancer within the past five years and you:

  • Have heart failure or another existing heart condition
  • Are at high risk for heart disease
  • Have experienced cardiovascular complications after cancer treatment
  • Require chemotherapy that may be cardiotoxic or radiation therapy to the chest

Some cancer treatments can weaken the heart muscle or alter heart function, making monitoring and early intervention essential. Therapies known to affect the heart include anthracyclines, platinum-based chemotherapy, HER2-targeted therapies, tyrosine kinase inhibitors (TKIs), immune checkpoint inhibitors (ICIs) and fluoropyrimidines.

“Too often we see patients years after treatment when heart problems have already developed,” Dr. Krishna said. “By screening earlier and seeing patients upstream, we can prevent disease rather than treat it after it occurs.”

Support that extends into survivorship

When cancer treatment ends, Wellstar Cardio-Oncology teams continue monitoring heart health and providing preventive care tailored to each person’s history.

“Survivors may face accelerated cardiovascular risks years later,” said Dr. Krishna. “By continuing to screen and monitor, we can help catch any issues and protect their long-term health and quality of life.”

This ongoing care gives patients greater peace of mind as they navigate recovery.

“We want patients to know we are a layer of reassurance,” Dr. Krishna said. “They don’t have to worry about treatment hurting their heart—we are here to protect it so they can focus on healing.”

By combining advanced expertise, early monitoring and compassionate support, Wellstar’s Cardio-Oncology Program helps people face cancer with confidence.

Learn more about cardio-oncology services at Wellstar.

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