Lady Ready 4 : Cotest (Pap smear and HPV DNA test) + Ultrasound of Breast

Lady Ready 4 : Cotest (Pap smear and HPV DNA test) + Ultrasound of Breast

Cervical Cancer Screening with Co-Testing 

Cervical cancer is the second most common cancer among Thai women, after breast cancer. Therefore, regular cervical cancer screening is the best way to prevent the severity of cervical cancer. This is because screening can detect abnormalities in the early stages, allowing for timely treatment. Currently, there are several methods of cervical cancer screening, the most accurate of which is the combination of cytology and HPV testing (with a detection rate of precancerous lesions of over 99%).

1. Cytology

Also known as ThinPrep Pap Test, this method involves using a brush to collect cells from the cervix and then swirling them in ThinPrep solution. This solution has the special property of dissolving mucus and red blood cells, so there is no mucus to obscure the cells. The cells are arranged in a thin layer, making it easier to detect cancerous cells. A computer system is used to screen the cells and then a medical technician confirms the presence of cancer cells. This method has a sensitivity of detecting precancerous lesions of up to 74%.

2. HPV Testing

HPV-positive cervical cells obtained from ThinPrep solution are tested for DNA of the 14 high-risk HPV strains to predict the future risk of cervical cancer. This method has a sensitivity of detecting precancerous lesions of over 96%.

Benefits of Co-Testing

• High accuracy: Co-testing is the most accurate method of cervical cancer screening, with a sensitivity of detecting precancerous lesions of over 99%.
• Early detection: Co-testing can detect abnormalities in the early stages of cervical cancer, when treatment is most effective.
• Reduced risk of cervical cancer: Regular co-testing can significantly reduce the risk of developing cervical cancer.

Who Should Get Co-Testing?

All women aged 30-65 years should get co-testing every 5 years. Women with certain risk factors, such as a history of HPV infection or abnormal Pap smears, may need to be screened more often.

Breast Cancer Screening with Ultrasound of Breast

Breast cancer screening is crucial as detecting breast cancer early significantly increases the chances of successful treatment. Currently, three primary methods are used for breast cancer screening:

1. Self-examination of the breasts: Regularly checking your breasts for lumps or other abnormalities.

2. Clinical breast examination: A healthcare professional physically examining your breasts for lumps or other abnormalities.

3. Mammography

4. ฺBreast ultrasound

   • Breast ultrasound: Utilizes high-frequency sound waves to penetrate breast tissue. The reflected sound waves allow for the differentiation between normal tissue and lumps. Additionally, it can determine whether a lump is fluid-filled or solid, providing preliminary information about the abnormality.

Service Guidelines

Please make an appointment in advance before receiving the service.

Before receiving the service:

• • • Do not undergo the test during menstruation. It is recommended to undergo the test at least 3 days after menstruation ends.
    • Do not douche or use vaginal suppositories for at least 2 days before the test.
    • Avoid sexual intercourse for at least 1 day before the test.
    • If you have menstruation and severe menstrual cramps, you can consult a doctor without having to wait for your menstruation to end first.
    • Urinate completely before the test.
    • Wear comfortable clothes that are not too tight.
    • Should not be during menstruation The appropriate time to have a mammogram is 7-14 days after menstruation.
    • For mammograms, do not apply lotion or powder to the breasts and underarms, including medication or deodorant sprays, as these substances can produce a chalky appearance similar to abnormal calcifications found in breast cancer on mammograms. This can lead to misdiagnosis.
    • For pregnant women or those who suspect they are pregnant, please inform the staff before receiving the test, as this is a contraindication for mammography. Ultrasound will only be performed.

After receiving the service:

• • • If the test results show inflammation or abnormal cervical cells, please come for continuous treatment every time.
    • You should undergo regular cervical cancer screening as recommended by your gynecologist.

Available for service at:

Women’s Health Center, BNH Hospital Tel: 02-022-0778 or 02-022-0850

Other Women’s Health Packages You May Be Interested In

• Lady Ready 1
• Lady Ready 2
• Lady Ready 3
• Lady Ready Packages