1. Kelly Murguia, MSN, NP Reedley College Health Services Coordinator
Women’s Health Talk
Kelly Murguia, MSN, NP
Reedley College Health Services Coordinator

2. Healthy Numbers BMI: Body Mass Index
Calculates height/weight and is an easy method of screening for weight grouping, such as underweight, normal or healthy weight, overweight, and obesity.
Normal/Healthy BMI=18.5 – 24.9
How to calculate: weight (lb) / [height (in)]2 x 703
Example: I am 155 lbs. and 5’8” tall (68”); 155/(68)2 x 703 = 23.6
This is a guideline to assess risks for health concerns

3. Ways to lower BMI Change your diet More Exercise Keep a journal
Low-fat, low carb, high lean protein
More fruits and vegies
Increase water
More Exercise
Move daily, start with 30 minutes/day
Aerobic activity burns more calories
Add strength training with weights to tone muscle
Increases metabolism
Keep a journal
Fitness app, Fitbit, Apple watch

4. Women’s Health Yearly Women’s Health Exam
Covered by Insurance, Family PACT, and BCEDP
Includes:
Pap smear or Pelvic exam
Clinical Breast Exam
STD screening
Birth control counseling
Routine labs

5. Pap Smear Pap Smear: Screening for cervical cancer and detects HPV
The only way to detect cervical cell change
HPV is a sexually transmitted virus--over 100 HPV strains
4-6 harmful HPV strains
Screening begins at age 21
New changes: Pap Smear every 3 years if Pap was normal last year
Yearly pelvic exam if not due for a Pap

6. Breast Exam Clinical breast –Screening for breast Cancer
Monthly self breast exams--Screening for breast Cancer
Yearly mammogram by age 40--Screening for breast Cancer
BCEDP Program—Free screening and mammogram

7. Breast Cancer Stats
2nd most common cancer in American women with 249,000 new cases expected in 2016.
In the US, 1 out of 8 women will develop breast cancer in their lifetime.
Although rare, 2,600 new cases of invasive breast cancer are expected to be diagnosed in men this year (1 in 1000 risk).
A women’s risk of breast cancer nearly doubles if she has a first-degree relative who has been diagnosed with breast cancer.
5-10% of breast cancers can be linked to gene mutations (BRCA 1 & BRCA 2) inherited from one’s parent.

8. STD Screen Gonorrhea and Chlamydia cervical screening
HPV cervical screening
STD screening Blood tests:
HIV, RPR, Hepatitis
Many STD’s are asymptomatic
STD Prevention = Condoms with every new partner

9. Labs Labs: STD Panel (HIV, Syphilis, Hepatitis) CBC (Hgb) CMP (BS)
Thyroid panel

10. Non-Hormonal Birth Control Hormonal Birth Control
Condoms **
Diaphragm/Cap/Spermicide
Natural Family Planning
ParaGard IUD
Essure/BTL
Abstain/Hysterectomy
Oral Contraceptive Pill
Nuvaring
Patch
Depo-Provera
Nexplanon
Mirena & Skyla IUD

11. Which BC Method is Best?
Questions to ask: 1. Do you want a long-term or short-term product? 2. Do you want a period? 3. Are you able to remember something daily? 4. Are you in a monogamous relationship? 5. What have you used in the past?

12. Many BC Options

13. References https://www.asccp.org https://www.acog.org