Health & Wellness

Ask This Doc: Q & A

Have you been wondering about anything?

Perhaps you have read something health-related on the internet but are not sure of its accuracy and would like the opinion of an impartial doctor…

Perhaps you just have a general question about how to improve your health…

I have noticed that many people have unanswered questions when it comes to health-related issues. Therefore, if you think I can help, I encourage you to ask them (of course this is not to replace your personal doctor’s advice, but just to offer you another source of information).

You are welcome to leave your question in the comment section or submit it to me directly. 

With love,
Phoebe

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 *Remember, any information provided through this blog is solely for educational purposes and is not intended to be used in place of medical advice. Always consult your trusted health care provider before starting or changing any medications/supplements, diet, and exercise regimens.  

73 replies »

  1. Hi, me again!
    I know a fair amount of women, especially in the 55+ group, who have decided that they don’t need to go get their annual gyn exam and mammogram. Some have had hysterectomies, so say there’s nothing to check; others say that the risk of cancer from the radiation is greater than the likelihood that they have cance.
    So then, what is your advice to “older” women? How often do they need their exams and mammograms?

    Liked by 1 person

    • Hello there!

      You bring up a very important topic, as many women often wonder the same thing. To answer your question I will address each test separately:

      PAP SMEARS (Cervical cancer screening):
      – If you are YOUNGER THAN 65: Please continue to get cervical cancer screening when your doctor asks you to. Usually this is every 3 or 5 years (depending on what tests were done and what the results were).
      – If you are 65 AND OLDER and your recent pap smears were normal: You can stop!

      -If you have had a TOTAL hysterectomy for noncancer reasons: No more paps needed!
      -If you have had a total hysterectomy for a cancerous or precancerous condition: Still need pap smears (they check vaginal wall cells for abnormalities)
      -If you have had a PARTIAL hysterectomy: Still need paps (per above)

      MAMMOGRAMS:
      – If you are 55 AND OLDER: I definitely still recommend getting them, but you can space them out to every 2 years.
      – When to stop: Some physicians recommend getting mammograms for as long as you are healthy enough to have a life expectancy of at least 10 years. Some say it's okay to stop when you're 75 years old.
      – As for the dose of radiation exposure from a mammogram: it is very minimal, so I would not use that as a reason to not get one.

      So to sum up what is a rather complicated issue: I would encourage any woman in the 55+ age group to ask their doctors directly about what they recommend given her specific medical history, and if you have concerns or reservations…let them know! That's what they are there for.

      I hope this helps! 🙂

      Liked by 1 person

    • Hi Tink,

      For osteoporosis, the recommended dose of calcium is 1200mg with 800IU of vitamin D3.

      Since it sounds like you are already taking more than that, I would advise you to continue on your current dose without increasing. Make sure not to take more than 4000IU total of vitamin D daily (unless instructed by your doctor) as this increases your risk of vitamin D toxicity.

      However, vitamin D and calcium alone are not sufficient treatments for severe osteoporosis, which usually requires a bone-forming prescription medication. Has your doctor discussed that with you?

      Like

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