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Article Category: Highlights

Lower Your Risk & Recognize Signs of Gynecological Cancer

Published on September 27, 2021

Last updated 08:28 AM August 24, 2023

Woman stretching on the floor with a set of dumbbells and hand weights.

In recent years, most cervical cancers have become completely preventable with a vaccine, and there are screening tests to identify it early. However, it’s important for women to understand the warning signs of gynecological cancers that don’t have screening tests, such as:

  • Endometrial (uterine) cancer
  • Ovarian cancer
  • Vaginal cancer
  • Vulvar cancer
  • Other rare types

Lower your risk for gynecological cancer

At your annual women’s health appointment, it’s important to talk to your healthcare provider about your family history and lifestyle choices that can make a positive impact on your health. Here are some ideas to consider lowering your risk for different types of gynecological cancer:

  • Share your family history with your healthcare provider. Only about 5 to 10% of gynecological cancers are genetic, according to Wellstar Gynecologic Oncologist Dr. Amy Carroll. However, some patients may benefit from genetic risk assessment, which looks for hereditary gene mutations that increase an individual’s risk for ovarian cancer.
  • Maintain a healthy weight or lose weight. Women who are overweight have a higher risk of being diagnosed with the most common type of endometrial (uterine) cancer– and for the cancer to return after treatment. This is a challenge for many people and your health providers want you to feel empowered–not embarrassed–to discuss your BMI, nutrition, weight reduction and wellness.
  • Stay tobacco-free or quit tobacco. Again, many health providers can help women with education and resources to quit smoking or vaping for the long haul. Quitting tobacco can reduce your risk for some gynecological cancers and many other health conditions.

Watch for changes in your body & talk to your doctor

Because there are no screening tests for gynecological cancers other than cervical cancer, it is important for women to be educated on the signs and symptoms—and to act on them.

“Unfortunately, there are many vague symptoms associated with a lot of gynecologic issues,” Dr. Carroll said. “Typically, I tell people if you have any symptom that doesn’t come and go but persists for a couple weeks or more, it’s worthwhile to talk to somebody about it.”

Dr. Carroll said that one symptom patients should always discuss with their provider is post-menopausal bleeding. Also, while most people experience occasional bloating, persistent bloating can be a sign of ovarian cancer and should be discussed with a provider, she said.

Signs & symptoms of gynecological cancer

Some gynecological symptoms to discuss with your doctor include:

  • Vaginal bleeding after menopause
  • Excessively heavy menstrual cycles
  • Abnormal bleeding between periods
  • Unexplained pelvic or abdominal pain, bloating or nausea
  • Discharge or pain with intercourse
  • Severe change in bowel or bladder habits
  • A heavy feeling in the pelvis
  • A sore or lump in your vulva

The highest level of treatment for gynecological cancer

The physicians and healthcare teams at Wellstar are focused on keeping women healthy and preventing and lowering the risk of cancer and other health conditions. However, when a woman does get gynecological cancer, she has access to a team of experienced and knowledgeable gynecological cancer experts close to home.

Our gynecologic cancer care program includes:

  • A gynecological cancer-specific multidisciplinary tumor conference where gynecological oncologists, radiation and pathologists meet to diagnose and plan treatment.
  • Gynecologic cancer surgeons who perform procedures robotically, laparoscopically or as open procedures, based on evidence-based practices that lead to the best outcomes.
  • A robust support network that includes cancer-specific nutritional counseling, genetic counseling, nurse navigation, psychological counseling and more.
Wellstar Research Institute and Northwest Georgia Oncology Centers work closely with select local and national partners to give patients access to the latest clinical trials without leaving their communities.

Most health plans cover preventative care services—like vaccines and screening tests—at no additional cost. For people without insurance, Wellstar practices have low-cost annual exams that include evaluation for cervical cancer and a Pap test if it is medically appropriate. To find a physician, call (770) 956-STAR (7827) or schedule online by clicking the “Book Now” button at the top of any page.

Learn more about gynecological cancer

Take control of your health and learn easy ways to prevent and screen for cervical cancer.

If you have any symptom that doesn’t come and go but persists for a couple weeks or more, it’s worthwhile to talk to somebody about it.

- Dr. Amy Carroll

Wellstar Gynecologic Oncologist

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Amy Rae Carroll Cancer Care Womens Health
Primary Care
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Highlights

Genetic Testing: A Critical Tool in Cancer Treatment

It's been over three decades since genetic testing was first introduced as a tool for patients at risk of hereditary cancer syndromes. In its early days, genetic testing was expensive and time-consuming (often taking up to eight weeks for results). Fast forward to today and genetic testing is now a routine part of cancer care. It’s more accessible, comprehensive and, perhaps most importantly, significantly impactful for patients and their families.

Physicians help identify patients who could benefit from genetic testing, especially when someone has a personal or family history of cancer. Genetic testing can improve treatment outcomes, guide preventive care and provide vital information for the patient's family.

Benefits of genetic testing

1. Understanding the cause of cancer

One of the most common questions from patients newly diagnosed with cancer is, "Why did this happen to me?" While many cancers are the result of environmental factors, aging and sporadic mutations, genetic testing can offer a more definitive answer. For patients with hereditary cancer, knowing their cancer is genetically driven can help ease feelings of uncertainty and guilt. 

For many, this knowledge brings a sense of empowerment, as they now have the opportunity to make informed decisions regarding their treatment and potential preventive measures for the future. This hereditary cancer risk was present since birth, and there was very little if anything the patient could have done differently throughout their life to prevent their diagnosis.

2. Personalized treatment options

For patients with cancers like breast, ovarian, pancreatic and prostate, identifying genetic mutations (like BRCA mutations) can open the door to personalized therapies. The earlier in the diagnostic process the genetic test is ordered, the quicker the patient can be matched with appropriate treatments.

Knowledge of genetic mutations can also guide surgical decisions. Patients with BRCA-positive breast cancer may be candidates for risk-reducing mastectomy or salpingo-oophorectomy—both of which can lower the risk of future cancers. These decisions are most effective when genetic results are available before surgery.

3. Identification of additional cancer risks

Cancer does not always occur in isolation, especially in patients with hereditary cancer syndromes. For instance, patients with Lynch syndrome, a leading cause of colorectal cancer, are also at increased risk for uterine cancer—up to 60%. If identified before a colon resection, this knowledge could allow a hysterectomy at the same time if necessary, minimizing the risk of a second cancer and optimizing care.

Beyond immediate cancer treatment, genetic testing can also lead to additional screenings that might otherwise be missed. For example, the ATM gene is a known contributor to prostate and breast cancer.  But patients with an ATM gene mutation are also at elevated risk for pancreatic cancer. While general population screening is not typically recommended, high-risk patients should begin annual imaging and/or endoscopic ultrasounds as early as age 50 or 10 years before the earliest known pancreatic cancer in their family.

4. Informed decisions for family members

A cancer diagnosis doesn’t only affect the patient—it impacts their entire family. Once a genetic mutation is identified, relatives can undergo testing to assess their own cancer risk and talk to their care teams about screenings. 

Testing the affected patient first is the most informative strategy for relatives. Patients with negative genetic test results can be reassured that relatives are not at significant risk for the same diagnosis. 

The role of genetic counseling in cancer care

Genetic counselors provide the expertise necessary to interpret complex genetic results, discuss the implications for patients and their families, and offer psychological support throughout the process. Genetic counseling not only helps patients make sense of their genetic test results, but also provides them with the tools to make informed decisions about their health.

Counseling also helps address the emotional and psychological aspects of genetic testing, from potential feelings of anxiety to guilt and even empowerment. Research shows that genetic counseling has a positive impact on patient knowledge, reduces anxiety and can improve overall psychological well-being during a cancer journey.

Learn more about genetic counseling at Wellstar. 

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Celebrating the ribbon-cutting at Wellstar's newest cancer care facility in Cartersville, Georgia

Newsroom

Wellstar Expands Cancer Care in Cartersville

CARTERSVILLE, Ga. — Community members, local officials and healthcare leaders gathered to celebrate the ribbon cutting of Wellstar’s newest cancer care facility, marking a significant milestone in expanding oncology services for Bartow County. The facility began seeing patients Feb. 23, but the event offered the community its first look inside the expanded space and an opportunity to recognize the teams behind the project.

The nearly 15,000-square-foot building doubles local infusion capacity and adds space for chemotherapy, immunotherapy, targeted therapy and other medical oncology ervices. The facility features 15 exam rooms, three triage rooms, 28 infusion chairs, eight blood draw stations, a dedicated laboratory, an on-site compounding pharmacy, and expanded areas for clinical consultations and care coordination.

“This new facility is part of our commitment to expanding access to compassionate, high-quality care across the Southeast,” said Ketul J. Patel, president and CEO of Wellstar Health System. “For the people who call Bartow County home, that commitment means advanced cancer treatment where they live, delivered by a team supporting them every step of the way.”

The new location expands cancer care with Wellstar and partners in care Northwest Georgia Oncology Centers, enabling access to the latest therapies and strengthening collaboration among oncologists, advanced practice providers, pharmacists and support teams. In Cartersville, a dedicated team of two medical oncologists and four advanced practice providers now delivers personalized treatment plans tailored to each patient’s diagnosis. Patients also have access to supportive services, including genetic counseling, financial navigation and education with a clinical pharmacist.

Collage of staff and facility photos of Wellstar's cancer care facility in Cartersville, Georgia


“This space was designed with our patients’ needs in mind,” said Dr. Michelle Ojemuyiwa, a Wellstar oncologist and hematologist who practices in Cartersville. “With more room, additional infusion chairs and an on-site compounding pharmacy, we can care for more patients efficiently while maintaining the personalized, attentive approach they expect throughout their treatment.”

The new Wellstar cancer care facility is located at 65 Cloverleaf Drive in Cartersville.

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Attendees celebrate at the ribbon-cutting ceremony at Wellstar Spalding Cancer Center

Newsroom

Wellstar Spalding Medical Center Opens Cancer Center in Griffin

GRIFFIN, Ga. — Community leaders joined hospital executives Thursday as Wellstar Spalding Medical Center held a ribbon-cutting ceremony to officially open its new cancer center, improving access to oncology and infusion services for patients in Spalding County and the surrounding region.

The 6,475-square-foot expansion nearly doubles the hospital’s cancer treatment space and includes eight exam rooms, 14 infusion chairs, two blood draw stations, a dedicated lab, triage room, waiting area and administrative offices. An on-site infusion pharmacy will support chemotherapy, immunotherapy, targeted therapies and other outpatient treatments.

Care at the Wellstar Spalding Cancer Center is provided in partnership with Northwest Georgia Oncology Centers (NGOC), with additional support from an oncology nurse navigator who coordinates care and guides patients through treatment.

“People should be able to receive high-quality cancer care close to home,” said Kevin Smith, president of Wellstar Spalding. “By expanding both our cancer services and the specialties that support early detection and treatment, we’re making it more convenient for our patients to get the care they need.”

NGOC oncologist Dr. Dhivya Prabhakar has joined the Wellstar Spalding Cancer Center, further enhancing access to oncology care. She will be joined by a second oncologist this summer.

“What matters most to patients is feeling supported and understood throughout their cancer journey,” Dr. Prabhakar said. “With this expansion, people can stay in their community surrounded by a care team that knows them, listens to them and helps them navigate every step with clarity, compassion and hope. Our goal is to meet people where they are and partner with them in their care so they never feel alone in the process.”

Hospital leaders also highlighted growth in related services since the project began. Wellstar Spalding now offers endocrinology, which plays a key role in identifying endocrine-related cancers such as thyroid, adrenal and some pancreatic tumors. The hospital has also added a general surgeon specializing in breast surgery, expanding local options for evaluation and surgical care.

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