Prevention and Early Detection of Female Cancers
As a Reproductive Endocrinologist, Dr Howe does not treat cancer of any sort. Women with cancer deserve to receive their care from an oncology specialist. However, as a physician and gynecologist he strongly advocates cancer prevention and early detection of those cancers which do arise. Toward this end, he provides Pap smear testing, genetic testing and ovarian ultrasounds.
Pap Smear testing permits the early detection of cervical cancer. Most cervical cancers are caused by the human Papilloma Virus (hPV), which is also the cause of warts. The cervix is one of very few sites in which hPV causes not a wart, but rather can create a progression of cell changes leading to cancer. We strongly advocate hPV vaccines for men and women. Women who have received the hPV vaccine are much less likely to develop cervical dysplasia, and virtually never have genital warts, but should have Paps none the less.
In his gynecology patients, Dr Howe performs Pap smears in accordance with recent professional society recommendations. Because the majority of cases of cervical dysplasia (“pre-cancer”) occur in women who are within their first decade of sexual activity, he exceeds the published guidelines by offering Paps annually to women aged 20-30, then each third year as is routine.