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A note to the presenter:

A note to the presenter:. Order resources 2 weeks in advance from CervixCheck (resource form available on resources page at TellEveryWoman.ca). I would recommend the following: Pap Tests: Understand your results

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A note to the presenter:

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  1. A note to the presenter: • Order resources 2 weeks in advance from CervixCheck (resource form available on resources page at TellEveryWoman.ca). I would recommend the following: • Pap Tests: Understand your results • Pap Tests: What you need to know OR bookmark version which is abbreviated and available in many languages • Pap Test Toolkit (required for the simulation) • HPV Vaccine Facts • Tell her how much you care Posters for you to post in your facility • Print these slides and insert into a flipchart that has 14 pockets. These can be purchased at places like Staples or Grand & Toy (Showfile). • Look up on TellEveryWoman.ca website locations where women can go for a Pap test in your region and incorporate this information into your presentation. • Don’t feel you need to have ALL the answers. If women ask questions you can’t answer, send the question to Lesley Dyck to answer and then get back to your group. It is better to have the correct response than to guess. Contact info: lesley.dyck@cancercare.mb.ca or 788-8627

  2. CervixCheck Brief Last updated June 2011

  3. www.TellEveryWoman.ca What comes to mind… • Cervical cancer screening • Pap test

  4. Presenter: What comes to mind when I say: • Cervical cancer screening • Pap test • Affirm their responses. This activity helps to activate prior learning so that new learning can occur.

  5. The Cervix

  6. Presenter: The cervix • The cervix is the opening at the bottom of your uterus – that’s the organ where babies grow when you become pregnant. • In some women, abnormal cells can begin to grow on the cervix

  7. www.TellEveryWoman.ca HPV • Can cause abnormal cervical cells • Very common • Spread through any type of sexual contact • Only takes one partner to get HPV

  8. Presenter: HPV • Abnormal cells are caused by a very common virus called Human Papillomavirus or HPV • ¾ people will have an HPV infection in their lifetime • HPV is spread through intimate genital contact (oral sex, sex with fingers or hands, genital rubbing) and intercourse • It’s the skin-to-skin contact that transmits the virus • Anyone who has engaged in sexual activity – even once – has a good chance of coming into contact with HPV • Men & women give and receive HPV

  9. www.TellEveryWoman.ca Abnormal cells • No symptoms • Treat early changes to prevent cancer of the cervix. • Most cervical cancers can be prevented if women have regular Pap tests with follow-up for abnormal changes.

  10. Presenter: Abnormal cells • If abnormal cells caused by HPV are left untreated on the cervix, they could grow and develop into cervical cancer. • You may have abnormal cells and have no symptoms, the only way to know is to perform a Pap test on a regular basis • Most women diagnosed with cervical cancer have never had a Pap test, or haven’t had one in the five years before their diagnosis • Most cervical cancers can be prevented if women have regular Pap tests with follow-up for abnormal changes.

  11. Pap test simulation…

  12. Presenter: Pap test simulation • You’ll need a Pap Test Toolkit from CervixCheck. Please order in advance. • Ask for a volunteer to hold the cervix. • Asked to undress from waist down & given a drape to place over your legs. • Lay on examining table with feet in footrests • Insert a speculum into vagina • Insert spatula into cervix, turn, remove, smear cells onto a slide • Insert cytobrush into cervix, turn, remove, smear cells onto a slide • Spray slide with fixative to preserve cells • Remove speculum • Pap test should not hurt, it you experience discomfort please tell your provider • NOTE: The Pap test does not check for Sexually Transmitted Infections (STI) (e.g. Gonorrhea, Chlamydia, HIV). It looks strictly for abnormal cervical cells. If a woman is concerned about a possible STI she needs to ask for a separate test.

  13. www.TellEveryWoman.ca Results • Normal – no phone call • Abnormal – phone call from clinic • Unsatisfactory – Not enough cells, need to do another Pap test

  14. Presenter: Results • Pap test results come back as normal, abnormal, or unsatisfactory • Normal – no abnormal cells, no phone call from clinic • Abnormal – abnormal cells that need to be followed up with another Pap test or a closer examination using a microscope called a colposcope. Phone call from clinic. This result does not mean that you have cancer. In most cases these cells will disappear on their own within two years. • Unsatisfactory – Not enough cells were taken or there were other types of cells that made it difficult to read the slide. Phone call from clinic. • Refer to brochure called “Pap Tests: Understand your results” for more detailed information. • CervixCheck will follow up with women directly if there is no result for recommended follow up in their registry record within the recommended time frame.

  15. www.TellEveryWoman.ca Do I need Pap tests? • Yes, if you have EVER been sexually active (sexual intercourse and intimate touching), regardless of sexual orientation • Every 2 years • Doctor or nurse or visit TellEveryWoman.ca for a location near you

  16. Presenter: Do I need Pap tests? • All women who have ever been sexually active (sexual intercourse and intimate touching), regardless of sexual orientation, should have regular Pap tests. • Women should get Pap tests every two years • Visit your regular doctor or nurse or visit TellEveryWoman.ca or call CervixCheck at 788-8626 or 1-866-616-8805 to find a Pap test location near you • Even if you’ve had sexual contact even one time many years ago you need to continue getting regular Pap tests until you turn age 70 • If a woman is past menopause she still needs to have a Pap test until she is about 70 years old. • Women who have had hysterectomies may or may not need a Pap test. It’s best to check with your health care provider or call CervixCheck.

  17. www.TellEveryWoman.ca Pap tests around pregnancy • High false positive rate • Pap test not necessary if: • Woman has routine screening prior to pregnancy • The doctor or nurse does not see any problems on a woman’s cervix • Pap tests should occur every 2 years • To get a copy of your own screening history call 788-8626

  18. Presenter: Pap tests around pregnancy • Pap tests during pregnancy has a high false positive rate, meaning that the result is abnormal when really the cervical cells are normal (causing undue stress to the woman). • Screening during pregnancy is unnecessary if a woman has: • had routine screening prior to pregnancy • no visual abnormalities on her cervix (to be confirmed by doctor or nurse) • Screening histories can be obtained by the woman herself by calling 788-8626 and requesting a copy. Every woman has access to her own history report. It’s completely confidential. • Screening history states: • When & where each test was performed • Who performed the test • What the result was • Since the year 2001. • Pap tests are not required just because a woman is pregnant. Pap tests are recommended every two years. It’s essential to know a woman’s Pap history to make an informed decision about whether or not a Pap test is recommended.

  19. www.TellEveryWoman.ca What is the HPV vaccine? • Protect against certain types of HPV which cause cervical cancer • Vaccines do not treat existing HPV infections • Still need regular Pap tests

  20. Presenter: HPV Vaccine • Two HPV vaccines: Gardasil & Cervarix • Gardasil – protects against: • HPV 16 & 18 which cause over 70% of cervical cancers • HPV 6 & 11 which cause 90% of genital warts • Cervarix protects again HPV 16 & 18 only • HPV vaccine is currently available to girls in grade 6 at no charge (everyone else has to pay). • The vaccine is most effective when given to females before they start having sexual contact. If you receive Gardasil before exposure to HPV 16, 18, 6 and 11, it will be almost 100% effective in preventing infections from these four types. • If you have previously been infected with one of these four types, the vaccine will still protect you against the remaining three types. • You will still need to have regular Pap tests as the vaccine does not protect you against ALL types of HPV that can cause cervical cancer. • Remind the women to check back to our website: TellEveryWoman.ca when it comes time for their children to be vaccinated as things may change between now and then.

  21. www.TellEveryWoman.ca When was your last Pap test? Are you due? Not sure? Call 788-8626 to get a screening history report.

  22. www.TellEveryWoman.ca When was your last Pap test? Are you due? Not sure? Call 788-8626 to get a screening history report.

  23. www.TellEveryWoman.ca Review time… • What is a Pap test? • What causes abnormal cervical cells? • Who needs to have a Pap test? • How often? • Do women who receive the HPV vaccine still need regular Pap tests? Why or why not? • Where can a woman go for a Pap test? • Who can I call to get a listing of all my test results?

  24. Presenter: Review • What is a Pap test? The screening test for cervical cancer that looks for abnormal cervical cells on the cervix. Treating early changes can prevent cancer of the cervix. • What causes abnormal cervical cells? HPV or Human Papillomavirus • Who needs to have a Pap test? All women who have ever been sexually active (sexual intercourse and intimate genital touching), regardless of sexual orientation, should have regular Pap tests. • How often? Every two years. • Do women who receive the HPV vaccine still need regular Pap tests? Yes, because the vaccine doesn’t protect against all types of HPV that can cause cervical cancer. • Where can a woman go for a Pap test? Her nurse or doctor or visit our website TellEveryWoman.ca or call 788-8626. • Who can I call to get a listing of all my test results? CervixCheck, CancerCareManitoba at 788-8626 or 1-866-616-8805

  25. www.TellEveryWoman.ca Any questions?

  26. Presenter: Any questions? • Answer questions to the best of your ability. • If you are at all unsure of how to respond please refer to the resource materials or call Lesley Dyck at 788-8627 or email at lesley.dyck@cancercare.mb.ca • Encourage your group to contact CervixCheck at any point should they have questions or concerns: a) 788-8626 or 1-866-616-8805 b) Our website is TellEveryWoman.ca

  27. www.TellEveryWoman.ca What will you take away…

  28. Presenter: What will you take away… To conclude the learning session and help solidify the information learned, ask your group members one or more of the following questions: • What is one thing you learned today about cervical screening that you did not know before today? • Name one person with whom you can share this information. • Where can you go if you have questions about cervical cancer screening? • Encourage your group to contact CervixCheck at any point should they have questions or concerns: a) 788-8626 or 1-866-616-8805 b) Our website is TellEveryWoman.ca

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