What You Should Know About Cervical Health (NAPSA)—Cervical health has gotten a lot of attention lately, mostly because of the strides being made in cervical cancer preven- tion. But what doesit do, exactly? And do womenreally care? A new survey by Harris Interactive showed that women actually do care—nearly 9 in 10 women said that a healthy cervix was as important to them as healthy breasts, and more than half said it was part of what makes them feel like a woman. Less than half, though, were able to name several of its specific functions. “When women understand how important the cervix can be to their overall well-being, they will take the necessary steps, such as getting regular Pap smears, to keep their cervix healthy,” said Elizabeth Battaglino Cahill, RN, executive vice president of the National Women’s’ Health Resource Center (NWHRC), an independent, nonprofit organiza- tion dedicated to empowering womento make informeddecisions about their health by providing objective, trustworthy information. The cervix is the bottom part of a woman’s uterus, where it opens into the vaginal cavity. To under- Important Questions to Ask Your Doctor intact or have a full hysterectomy, What should | know about my cervix at this point in mylife? What roles doesit play in my overall health? e |f I'm faced with a hysterectomy, how does that affect my cervix and are there treatment options that would keep mycervix intact? What exactly does a hysterectomy entail? Whatis the normal recovery timefor this procedure? e What risks are associated? How can these be prevented or minimized? e Are there alternative treatments or procedugs | should know about? Am | a candidate? “There is a minimally invasive hysterectomy called a laparoscopic supracervical hysterectomy (LSH) that only takes out the top part of younger women. When a woman is trying to get pregnant, the cervix secretes sperm-nourishing mucus to help fertilization, and while she is pregnant, the cervix supports the baby’s weight. Throughout all life stages, but particularly important after having children and as a woman ages, the cervix provides support to the organs above it—including the uterus and bladder. The cervix can open and close in varying degrees, depending on what is happening inside a woman’s body. It stays tightly closed during pregnancy to coun- teract the force of gravity on the pear’s top—with the ovaries at the end of each tube—and the pear’s fetus, opens slightly during ovulation and menstruation, and opens very widely (usually 10 cm wide) during childbirth. Dr. Viviane Connor, co-director of minimally invasive gynecologic Depending on the stage ina land Clinic in Florida, believes stand exactly whereit’s located, picture the uterus as an upsidedown pear. The fallopian tubes reach out from the sides of the narrowerbaseis the cervix. woman’s life, the cervix plays various roles and may look and feel differently. It protects the uterus from sexually transmitted diseases and bacteria, which may be particularly important for surgery at the prestigious Cleve- which removesthe entire uterus. the uterus where the problem is and leaves the normal cervix in place,” explains Dr. Connor. “LSH also causes less scarring, is a less painful procedure and has sig- nificantly shorter recovery time than the traditional open abdominal hysterectomy that is more common. Women whoare facing hysterectomy should talk to their health care provider about whether they are a candidate for LSH.” Most women wouldn’t choose to remove their cervix if it was healthy; in fact, 77 percent do not feel the cervix should be routinely removed with hysterectomy to prevent cervical cancer when they can have regular pap spears instead. So why are so many women having their cervix removed with hysterectomy? It could be because 73 percent of all women—and 53 percent of hysterectomy patients—had never heard about LSH. It’s a good idea to talk to your doctor about your overall reproductive health and before having a hysterectomy—or any kind of gynecologic surgery—ask questions to find out about the procedure, associated risks and alterna- tive treatments to makethe choice that’s right for you. You can also that women should be informed about cervical health in order to visit www.healthywomen.org to learn more andget a free, 28-page Your Guide to Cervical Health, facing hysterectomy have a choice whether to keep their cervix Johnson & Johnson company. participate in important health decisions. Very often, even women available through support from ETHICON Women’s Health & Urol- ogy, a division of ETHICON, Inc., a
