DeKalb Clinic's Obstetrics and Gynecology Department, including Dr. David Sui and Dr. Paula Hobson, focus on comprehensive Women's Reproductive Health services. They understand and concentrate on the unique physical and emotional needs of women.
We also offer complete Obstetrical care that ensures the best possible health for both mother and baby throughout pregnancy and delivery. Call (815) 758-8671, ext. 3350 to schedule an appointment.
Dr. Sui accepts women who are pregnant and are on public aid.
The Pap screen is a test performed in a doctor's office as part of a routine pelvic exam. In this test a small scraping of cervical cells is taken and examined under a microscope for abnormalities. This simple test can be credited with saving the lives of many women with cervical cancer risk. The early detection and treatment of precancerous cells can prevent most cervical cancers.
The cervix is the lower part of the uterus. It protects the uterus and pelvic cavity from infection and holds the fetus within the uterus throughout pregnancy. Cervical cancer begins in the lining of the cervix. It stems from precancerous cells that form gradually, usually over the course of many years. Precancerous cells can quickly become cancerous, often in less than a year.
The American Cancer Society (ACS) recommends that all women over 18 or women who are sexually active have a Pap test annually. In women who have had three normal Pap tests in a row and do not fall into significant risk categories, the test can be performed less often at the discretion of her Gynecologist.
According to the ACS, of the over 70 types of Human Papillomavirus (HPV), there are a handful that have been closely linked to most cervical cancers. HPV's are sexually transmitted. They cause flat warts and abnormal cell growth in a woman's reproductive tract. These can develop into cervical cancer. There is no cure for the HPV's, but the warts they cause can be treated before they become invasive cancer.
Early cancers in their first stage can be treated effectively by removal of the affected cells and close follow-up. The treatment for more advanced cancer becomes far more aggressive and includes anything from removal of the uterus and related structures to the removal of many more closely situated organs, followed by radiation and chemotherapy.
Sexual behaviors can significantly increase a woman's risk of contracting the HPV's that lead to cervical cancer. These include: intercourse at an early age; having many partners; and having unprotected sex at any age. Smoking, the human immunodeficiency virus (HIV), poor diet, oral contraceptives, and low socioeconomic status are also considered significant risk factors for cervical cancer.
Cervical cancer often has no symptoms until it has become invasive. Signs include unusual discharge or bleeding and pain during intercourse, or other pain in the area. The ACS Cancer Facts and Figures 1998 reports an estimated 13,700 women will be diagnosed this year with invasive cervical cancer. Another 4,900 will die. African-American women have twice the incidence of white women. The incidence of this cancer will continue to decline if more women moderate their risks and have regular Pap screens. The five-year survival rate of women with early cancer is about 95% but this drops to less than 20% for late stage cancers.
HPV immunization is recommended for girls and young women aged 9 to 26. HPV is the principle cause of cervical cancer. The immunization is given in three doses and helps prevent infection from the strains of HPV that account for 70% of cervical caner.
HPV Vaccine Information are available from Merck.