Interview Dr. Mimi Secor
Dr. Mimi Secor can discuss in depth on how to manage depression with proper attention to lifestyle adjustments. Combined with medication, research has proved promising in managing depression more effectively.
Talking Points from Dr. Mimi Secor
on the Lifestyle Effects on Depression:
For average-risk women, the American Cancer Society (ACS) recommends mammography screening begin at age 45 and be repeated every year until age 55, then every 2 years. Mammography is the recommended screening test for breast cancer so it is very important that women follow the ACS guidelines. Women who are at high risk should be referred to a breast expert or breast center for management. 1 in 8 women will develop breast cancer in their lives, and by age 50 the risk is approximately 1 in 50 women. This is a real threat to women and why life-saving mammography is so important.
2. GYN EXam
Cervical cancer screening is recommended by multiple organizations (ACS, American College of Obstetricians and Gynecologists (ACOG), and the American Society of Colposcopists and Pathologists (ASCCP). In 2020 the ACS issued new guidelines recommending screening begin at age 25 and be repeated every 5 years (if tests are negative) through the age of 65. They also recommend the previous recommendations be phased out, including screening from ages 21-24. The yearly pelvic exam is no longer recommended by all organizations. ACOG still recommends a yearly pelvic exam, but other organizations, notably the United States Preventative Task Force (USPTF) recommends only if the woman is symptomatic or there is an indication to perform a pelvic exam; such as the suspicion of uterine cancer (abnormal vaginal bleeding), fibroids, polyps, STIs, vaginitis, or other conditions/problems. This is a significant departure from previous guidelines over many decades recommending yearly pelvic exams and Pap smear/cervical cancer screening tests.
The pelvic exam evaluates the vulva, vagina, cervix, uterus, ovaries, and sometimes the rectum (optional based on need determined by the clinician). The Pap test is a cervical cancer screening test. The newer screening test, hrHPV, checks for high-risk (hr) subtypes of the human papillomavirus (HPV) (most notably 16, 18), which are both linked to cervical cancer.
3, Colorectal Cancer
Approximately 18,000 people are diagnosed with colorectal cancer each year. The NEW 2020 guidelines (for low-risk individuals) recommend the first colonoscopy at 45 years of age. The previous recommendation was for 50 years old. After screening at 45, (if the test is negative) colonoscopy should be repeated every 10 years or a stool-based test should be performed every one to three years, depending on the test. If the first test is positive then the follow-up guidelines are individualized based on the diagnosis/management and clinician’s follow-up recommendations.
According to the North American Menopause Society (NAMS) (menopause.org), hormonal tests are not recommended to diagnose menopause except for very specific situations. This is the same for women over 40 years old. Hormone tests are expensive and often not helpful in determining the medical problem a woman in her 40s is experiencing. Pregnancy tests should be done if a woman has missed her period and/or has a history of unprotected sex or noncompliance with their contraceptive method or not using a contraceptive. Of note, hormone tests may be recommended in a woman under 50 if early menopause is suspected. Symptoms may include stopping periods for 6 months or longer and/or vasomotor symptoms of hot flashes and/or night sweats. Women should consult with their clinician (primary care or OB-GYN) if they are concerned about this possibility.
Available for Interviews: Dr. Mimi Secor.
Dr. Mimi Secor, DNP, FNP-BC, FAANP, FAAN, is a Nurse Practitioner, Educator, Health/Fitness Advocate. She is also a popular National Speaker and Consultant, educating advanced practice clinicians and consumers around the country and the world. She is the author of the #1 International bestselling book, Debut a New You: Transforming Your Life at Any Age.
PR Managing Editor
Success In Media, Inc.