The Free Press, Mankato, MN

October 20, 2013

Speaking of Health: Preventative measures can help women avoid the most serious illnesses

By Ginny Clementson
The Mayo Clinic

---- — What are the top women’s health risks in this country? Heart disease, stroke and cancer are the three biggest threats and the top causes of death among adult women in the U.S. While family history does play a factor, there are preventive measures women can take to reduce their risk of some of these chronic conditions.

There are certain lifestyle changes women can make to reduce their risk:

• Stop smoking

• Eat a healthy diet

• Maintain a healthy weight

• Be physically active

• Limit alcohol intake

• Manage stress

• Watch your blood pressure and cholesterol

Heart disease is the No. 1 killer of American women, claiming more women’s lives than all forms of cancer combined. A common misconception is that heart disease is primarily a problem for men, but more women than men die of heart disease every year. If you’re aware of the symptoms and risks that are unique to women and you eat a heart-healthy diet (low fat, cholesterol and salt) and regularly exercise, you will be better protected.

Women who have heart attacks often experience different symptoms than men. Women of all ages are more likely than men to have heart attack symptoms unrelated to chest pain, such as:

• Pain in the shoulder, back, neck, jaw, ear or stomach

• Profound nausea

• Fatigue

• Shortness of breath

• Unusual heartburn

• Sudden lightheadedness

• Sweating

If you’re experiencing any of these symptoms or think you’re having a heart attack, call for emergency medical help immediately.

For many women, breast health tops the list of health concerns. I recommend women begin annual mammogram exams starting at age 40. Women should also perform regular self-exams and be “breast aware.” You should be familiar with the normal consistency of your breasts and the underlying tissue. About 40 percent of breast cancers are discovered as a result of self-exams. See your provider if you discover:

• A hard lump or knot

• Changes in the way your breasts feel or look

• Changes in color, size, shape or texture

• Dimples, puckers, bulges or ridges on the skin

• Inverted nipple

• Redness, warmth, swelling or pain

• Itching, scales, sores or rashes

• Bloody nipple discharge

Preventive exams such as mammograms play an important role in women’s health. Other recommended screening guidelines for women from the U.S. Preventive Services Task Force include:

• Blood pressure - At least every two years

• Bone density test - At least once at age 65 or older

• Cervical cancer (Pap test) – Ages 21-29, every two years; Over age 30, every five years

• Cholesterol test – Starting at age 20, tested regularly if you’re at an increased risk for heart disease

• Colorectal cancer – Starting at age 50

• Diabetes – Get screened for diabetes if your blood pressure is higher than 135/80.

• HIV, STDs – Get tested for HIV and other sexually transmitted diseases if you are sexually active. Discuss your risk with your health care provider because you may need more frequent tests.

It’s also important that women get regular checkups with their health care provider. Ask your provider how often you need to be seen for routine checkups. You can use that time in the doctor’s office to bring up any health concerns or questions you might have.

Ginny Clementson is a Mayo Clinic Health System nurse practitioner in Obstetrics and Gynecology. She will give a Speaking of Health presentation on women’s health that is open to the public in the lower level conference center of the hospital at Mayo Clinic Health System in Mankato on Tuesday, Oct. 22, at 7 p.m.

(For more information, please go to www.mayoclinichealthsystem.org. Health & Fitness coverage is supported by Mayo Clinic Health System, preserving the health and well-being of southern Minnesota communities.)