Have a question you forgot to discuss at the doctor’s office?

Q: I’m concerned about cervical, uterine and ovarian cancer. Is there a way to understand my risks?

A: Knowing your personal risk starts with two key things — staying current on recommended screenings and being aware of changes in your body.

Cervical cancer: This is one of the few gynecologic cancers that can be detected early through screening. Pap tests are recommended every three years from ages 21 through 65. Risk is higher with early sexual activity, having multiple partners or not using protection. Cervical cancer is not hereditary.

Uterine cancer: There is no standard screening test for this disease. Obesity is a significant risk factor and often includes heavy or irregular bleeding before menopause. Any vaginal bleeding after menopause should be checked right away. Some people may have a higher risk if there is a family history of colon, stomach, liver, kidney, brain or prostate cancer.

Ovarian cancer: There is no reliable screening test for ovarian cancer. Risk increases with age, never having been pregnant, obesity and endometriosis. Pregnancy, breastfeeding and long-term use of oral contraceptives may lower the risk. Symptoms can be vague, such as bloating, abdominal discomfort or feeling full quickly. While most cases occur without a known cause, a family history of breast, ovarian, prostate or pancreatic cancer may increase risk.

If cancer runs in your family, talk with your doctor to understand your risk and preventive options available to you.

— Andrea Buras, MD, Samaritan Gynecologic Oncology – Corvallis

Q: What is the best way to get my child caught up on immunizations?

A: If your child has fallen behind, the best approach is simple and safe: schedule a visit with a pediatrician to discuss further and get your questions answered. As a pediatrician certified by the American Board of Pediatrics, I follow guidelines that safely and effectively bring kids up to date with vaccinations as quickly as possible.

Start by gathering your child’s vaccination records, including those from prior clinics or schools. Your pediatrician will review what’s missing and design a personalized plan based on age, medical history and current health. Many vaccines can be given together, which shortens the time-line and reduces extra appointments without increasing risk.

Most importantly, don’t wait. Delaying vaccinations leaves children vulnerable to preventable diseases and can disrupt school or child care requirements. Partnering with a trusted pediatrician helps ensure your child is protected now and set up for long-term health.

For families with gaps due to illness, moves or the pandemic, catch-up vaccines are routine care — not a failure. Scheduling annual well-child checks is an easy way to keep on track with vaccinations.

— Galena Kolchugina, MD, Samaritan Pediatrics

---

Brought to you by:

Call Samaritan Health Services Find a Doctor line

at 800-863-5241 to find a provider who is right f