Tejumola M. Adegoke
@TejuAdegokeMD
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OBGYN Fluent in English and Medicalese Views=mine.
Joined November 2019
Out today. @BostonGlobe
Ideas: “Now I recognize as I didn’t then, that the night we met must have divided Catherine’s life into a before and after — with the after involving all the pain, stigma, and expense that comes with infertility,” writes gynecologist Tejumola Adegoke.
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@TheBearFX why did we offer Natalie oxytocin again? For kicks? This is not a medication we should use to speed labor along for funsies....
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Reflecting on Alexander Morris getting a psych evaluation for introducing himself and clinicians seeing things are not there...
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A gentle reminder that a pelvic exam is part of the evaluation for lower abdominal pain in a person with gynecologic organs. Patient's right to decline, but w/o is incomplete without it.
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@CHELSEAL0UbELL Interesting. I don't personally know any OBGYNS who routinely do a pap every year + I see patients who sometimes think they had a pap b/c of the speculum and when we look it was an STI test, so I'm always curious. There is a clear rec for a yearly exam, but not for yearly pap.
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@CHELSEAL0UbELL Both of those things are a pelvic exam! The speculum is just a tool used to look inside the vagina. To do a pap you need to put the speculum in, then collect cells from the cervix with a brush/spatula + send them to the lab. Results come back in 1-2 weeks.
What's a full exam? 1)Looking at the vulva 2)Checking internal organs with a gloved hand (aka a bimanual) and 3)Looking in the vagina/at the cervix with a speculum (This is the part where a pap smear can happen). @ACOG recommends a chat with your provider about when to do this.3/
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@RandiWhite And you said you've never heard that paps are recommended every 3 years. Hence my clarification. 💙
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@_adrian_sean You should go for an exam every yesr, but that is not the same thing as a pap.
@DRollins_ Always curious when I see this if we mean an annual pap smear (a specific test for cervical cancer) or an annual pelvic/speculum exam. The earliest guidelines for paps I can find are from 2012 and the rec was still for every 3-5 yrs. #WomensHealth #GynHealth 1/
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@sayylean Are you getting a pap every year or a pelvic exam? An annual exam is recommended, but that's different from a pap.
@DRollins_ Always curious when I see this if we mean an annual pap smear (a specific test for cervical cancer) or an annual pelvic/speculum exam. The earliest guidelines for paps I can find are from 2012 and the rec was still for every 3-5 yrs. #WomensHealth #GynHealth 1/
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@itsmetheHBIC Pap sensitivity is actually really high. The 3-5yesr recommendation is to avoid performing biopsies and invasive procedures for temporary changes that show up on the pap.
The point is to prevent or quickly detect cervical cancer. Most cervix cancers will start with a change on the pap, but most abnormal paps will not end up as cancer. Folks with healthy immune systems can have temporary changes that clear on their own in a year or two. 6/
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@_01Katarina @munchydaplug @JustArianni 3 years if you don't also get an HPV test. 5 years if you do. More often than that, you are more likely to get invasive procedures that may not actually be helpful. This is DIFFERENT that your annual gyn exam.
A pap is the speculum + collecting cells from the cervix to look for abnormalities. @acog + #USPSTF currently recommend cytology (looking at the cells) +/- HPV testing every 3-5 years, more often if you have had an abnormal pap, or conditions that compromise immunity (eg HIV). 5/
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I don't know the details of Jessica's case and I won't speculate on that here. Please get your annual exam, which is different from a pap. And you always have the right to a second opinion. If your provider ignores your symptoms, go elsewhere.
@DRollins_ Always curious when I see this if we mean an annual pap smear (a specific test for cervical cancer) or an annual pelvic/speculum exam. The earliest guidelines for paps I can find are from 2012 and the rec was still for every 3-5 yrs. #WomensHealth #GynHealth 1/
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@FallonFoxx @munchydaplug This OBGYN checks in about your symptoms, family planning. We do an exam and order tests that are due (pap, mammo, STI screening)
What's a full exam? 1)Looking at the vulva 2)Checking internal organs with a gloved hand (aka a bimanual) and 3)Looking in the vagina/at the cervix with a speculum (This is the part where a pap smear can happen). @ACOG recommends a chat with your provider about when to do this.3/
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@kcjohnson0927 @munchydaplug Over 10 years ago. We need to do a better job explaining the difference between a pelvic exam and a pap.
@DRollins_ Always curious when I see this if we mean an annual pap smear (a specific test for cervical cancer) or an annual pelvic/speculum exam. The earliest guidelines for paps I can find are from 2012 and the rec was still for every 3-5 yrs. #WomensHealth #GynHealth 1/
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@nhoodpublicist An annual gyn exam / check-up is recommended. An annual pap smear is not.
@DRollins_ Always curious when I see this if we mean an annual pap smear (a specific test for cervical cancer) or an annual pelvic/speculum exam. The earliest guidelines for paps I can find are from 2012 and the rec was still for every 3-5 yrs. #WomensHealth #GynHealth 1/
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