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    Bryon and Christy Bellinger are the proud parents of 11-year-old Terryk, and recently welcomed George Ivan, born July 6, 2016. They wouldn’t have dreamed o…

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  • After Hysterectomy, Tami O'Day Back to Work in 11 Days
    After Hysterectomy, Tami O'Day Back to Work in 11 Days

    With a household of eight to care for and a fulltime job, the last thing Tami O’Day of Oskaloosa was making time for was herself. Tami thought her m…

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  • Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP
    Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP

    When it comes to healthcare, being able to continue working without interruption is a common concern for many, Larry Spoelstra is no different. “I’ve liv…

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  • Janean Wedeking’s Family Gets a Little Bigger with MHP
    Janean Wedeking’s Family Gets a Little Bigger with MHP

    Janean and Derek Wedeking know the value of family, both personally and professionally. Janean is a fourth year medical student who has been on rotations…

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  • Ginger Grubb Appreciates Coordinated Care at MHP
    Ginger Grubb Appreciates Coordinated Care at MHP

    There are few things in life more personal than who you trust with your well-being. For Ginger Grubb, choosing Mahaska Health Partnership for her healthcare…

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Provider Focus

FowlerHeadshotJeffrey Fowler, DO

Dr. Jeffrey Fowler is an OB/GYN at MHP who specializes in the obstetrical and gynecological care for women through every stage of life.

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Latest News & Events

28 July 2016
Curious children make great helpers and one place to channel their enthusiasm is into the kitchen! Whether it’s a future drummer pounding on the pots and pans or a baker’s assistant, many children are eager to be in the midst of the action from an early age. While the mess and noise may make you a bit anxious, there are many benefits of having your kiddos help out in the kitchen. MHP Wellness Coordinator Ann Smith knows how hard it can be to get ...
21 July 2016
While you were pregnant, you expected those frequent urges and trips to the bathroom. Now that the baby is in your arms instead of your belly, you thought those urges would go away, but a laugh, cough or sneeze sends you running for the bathroom. What is going on?! Bladder leakage, or urinary incontinence, affects up to 50% of women after a pregnancy. Your body did amazing things to bring your little one into the world, but it can cause some afte...

Prevent Cervical Cancer

MHP Stresses Regular Screenings to Prevent Cervical Cancer

Mahaska Health Partnership Adult Medicine Nurse Practitioner Lisa Nelson urges women to get regular screenings to prevent cervical cancer.

“A regular pap test is the best defense women have for protecting themselves against cervical cancer because abnormal cells can usually be detected before they become cancerous,” Nelson stressed.

Cervical cancer occurs in the cervix, which is where the uterus meets the birth canal. According to the American Cancer Society, there are two main types of cervical cancer called squamous cell and adenocarcinoma. “Squamous cell carcinoma occurs in the cells that cover the surface of the cervix while adenocarcinoma develops from the mucus producing glands,” Nelson explained.

The American Cancer Society said that, when detected early, cervical cancer is one of the most successfully treated cancers. “The recommendation is for women not in a monogamous relationship to receive pap tests annually,” Nelson said. “Once a woman is in a monogamous relationship and as long as no other risk factors are present, a pap can be done less frequently at the advice of her primary care provider.”

According to the American Cancer Society, several risk factors increase a woman’s chances of developing cervical cancer. The most prominent risk factor is infection by the human papilloma virus (HPV). This virus infects cells on the surface of the skin and is spread through skin-to-skin contact. It may cause growths called papilloma, or warts, to form on the skin. “In most women, the body’s immune system will fight HPV on its own, however, a woman whose immune system is compromised is more susceptible,” Nelson explained.

Other risk factors for developing cervical cancer include smoking, other sexually transmitted diseases, diet and/or obesity as well as multiple full-term pregnancies and a family history. “Some women with these risk factors may never develop the disease but it is important to get regular screenings if you know you have increased risk,” Nelson stressed.

According to Nelson, women with pre-cancerous or early cervical cancer usually have no symptoms but if a woman notices a difference in vaginal discharge or experiences abnormal bleeding, Nelson said she should seek medical attention.

Nelson practices full time in Adult Medicine on the MHP campus is Oskaloosa. To make an appointment, call 641-672-3360 or visit our website at mahaskahealth.org.