But What About the HPV Vaccine?!
Feb 05, 2015

The Cancer Risk Awareness Survey, conducted by the American Institute for Cancer Research (referenced here), demonstrates that we Americans aren’t always aware of things that have been proven to decrease our risk of cancer, and sometimes do things we think decrease our risk of cancer, but have not been proven to do so. But they neglect to mention a very important preventive against cancer – the HPV vaccine.

HPV (Human Papilloma Virus) has many types, each causing different symptoms such as hand warts, planters warts, vulvar warts (condyloma), and worst of all, cervical cancer. More than 90% of cervical cancers are caused by certain types of HPV. The HPV vaccine (brand names Gardasil and Cervirix) protects against the types of HPV that cause cervical cancer. It is most effective if you get the vaccine before any sexual activity and when your immune system is young so it can make a robust response to the vaccine. The American Association of Pediatrics and the American College of Obstetrics and Gynecology recommends vaccinating boys and girls at age 11-12.

Some of the research necessary to make these vaccines available was conducted right here at Seattle Women’s. We are very appreciative to the great patients willing to participate in the clinical trials. Your involvement made these vaccines available, ultimately saving women from the tragedy of cervical cancer. Thank you!

ACOG HPV Vaccination Recommendations

AAP HPV Vaccination Recommendations

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PATCHES, PILLS, RINGS AND THINGS
Nov 04, 2014

Birth control pills were first released in the 1960s, and since then the variety and choice in contraception has only expanded. Picking what’s right for you can be a bit overwhelming and confusing, but at Seattle Women’s we want you to be informed so we’ve put together a brief summary of the popular options and how they work. You may have heard the news that the American Academy of Pediatrics is now recommending Long Acting Reversible Contraceptives (LARC) as preferred methods of birth control for young people who choose to be sexually active. And for everyone else? In 2009, the American College of Obstetrics and Gynecology recommended that these same methods be offered as a first-line choice for all eligible women.

So what are LARC’s?
• Intrauterine devices and systems (IUD and IUS) inserted in the uterus
o Skyla®- a hormone secreting IUS lasting for 3 years
o Mirena®-a hormone secreting IUS lasting for 5 years
o Paragard®-a copper containing IUD lasts for up to 10 years
• Nexplanon®-a hormonal implant inserted in the arm and lasting for 3 years

However, implants and IUDs aren’t for everyone. Since the release of the first birth control pill in 1960, many more pills have been released, and many improvements have been made — fewer side effects, much lower doses, less acne, less nausea, less bleeding, and less weight gain. Pills, patches and rings are in high demand, with new ones being tested all the time.

Patches
• A once-weekly option for delivery of hormonal contraception
o An Investigational Contraceptive Patch is in Phase III trials across the US and in our office. This patch has hormone levels similar to low dose contraceptive pills.
o The “Ortho-Evra®” patch is currently available but not widely used because the hormone levels have been found to exceed those commonly used in modern birth control pills.

Pills
• The most commonly used pills are a combination of both estrogen and a progestin,
• Progestin-only pills are less common but eliminate the estrogen, and are therefore appropriate for women who cannot or prefer not to take estrogen.
• An Investigational Contraceptive Pill containing the unique progestin, "drosperinone", is in clinical trials internationally and in our office.

Rings
• Nuvaring® is the only contraceptive ring currently available, containing both estrogen and progestin in a flexible vaginal ring that is changed monthly. It works by delivering hormones to your system via vaginal absorption and can remain in place during intercourse.
• A new progestin only contraceptive ring will begin international trials in the spring of 2015.*

At Seattle Women’s we are privileged to be able to offer you all of the options above.
• If you are interested in a contraceptive that is already on the market, please call to schedule a contraceptive counseling visit.
• If you are interested in one of our patch, ring or pill studies please contact us for more information.

We are proud to have been principal investigators researching almost all of the new contraceptives that have become available to women in the last two decades. Our research, and our combined 50 + years of clinical experience, allow us to provide you with the most comprehensive options available and meet your individual needs. Call us today to schedule an appointment.

FEATURED STUDIES AT SEATTLE WOMEN’S
Birth Control Patch
Birth Control Pill

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Seattle Women's News
Nov 04, 2014

Susan Vendeland, our Nurse Practitioner at Seattle Women’s, recently announced her retirement. She provided excellent care for many years to the women of our community, and will be greatly missed by patients and staff alike. We at Seattle Women’s wish her a happy and healthy retirement.

Seattle Women’s is pleased to welcome Elizabeth Garcia, MD, to our practice, joining us with many years of experience as a Board Certified Gynecologist. She holds additional certification as a Menopause Specialist. She relocated here with her family from Albuquerque, NM where she had a busy practice for over a decade and was a faculty member at the University of New Mexico Medical Center.

Dr. Garcia is available for appointments for both Susan’s patients and new patients for general well woman care, contraception, menopause related issues and gynecologic disorders. Dr. Garcia has received rave reviews from our patients. She brings her extensive clinical experience and knowledge to each patient with an individualized approach. Her full bio is on our website.

Please visit us and learn about our research studies. Call us at 206-522-3330 or email us at research@seattlewomens.com.

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