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Cancer Prevention & Screening Decision Aid

Did you know that about 4 in 10 cancers can be prevented through healthy living? Take this decision aid in less than 5 minutes to:

  • understand how your lifestyle impacts your risk of cancer,
  • help you determine the most appropriate cancer screening test for you,
  • understand how your personal and family history impact your risk of developing cancer.
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  • About You
  • Daily Living
  • Breast Cancer
  • Cervix Cancer
  • Colon Cancer

What is your age?



How tall are you?


How much do you weigh?


Your BMI is 0


Which term best represents you?




Are you physically active for at least 2 and a half hours a week?




Do you drink alcohol?




Do you eat less than 5 servings of fruits and vegetables a day or more than 3 servings of processed or red meat a week?




Do you smoke cigarettes?




Have you been vaccinated against human papillomavirus (HPV)?




Have you tested your home for radon?


Do you have any first-degree relatives (mother, sister, daughter) who had breast cancer or ovarian cancer?





Have you ever been diagnosed with breast cancer or been told that you are BRCA1 and/or BRCA2 positive?





Are you of Ashkenazi descent?





Was your last breast screening mammogram more than two years ago?






Have you ever had sexual contact?




Was your last cervical cancer screening test (Pap test) more than three years ago?





Personal and Family history

Have you ever been diagnosed with colon cancer, Lynch Syndrome, Familial Adenomatous Polyposis,
or Inflammatory Bowel Disease (IBD) with ulcerative colitis?





Do you have any first-degree relatives (parent, child, brother, sister) who have been diagnosed with colon cancer?





Screening History

Was your last colon cancer screening test (FOBT/FIT) more than 2 years ago?





Was your last colonoscopy more than 5 years ago?





Was your last flexible sigmoidoscopy more than 5 years ago?



Thank you for completing this survey.


Daily living

To decrease your risk of cancer

  • Maintain a healthy weight: Maintain a weight within the healthy range. Note BMI measurement is not perfect, there are a couple of things to consider. It uses height and weight to estimate body fat, which may not reflect differences in sex, age, bone density, and body composition.
  • Maintain a healthy weight: Great job maintaining a weight within the healthy range reduces your risk of cancer, keep up the good work.
  • Move more: Be physically active for at least two and a half hours per week. Avoid sitting for more than six hours a day.
  • Move more: Great job, being physically active for at least two and a half hours per week reduces your risk of cancer, keep up the good work.
  • Avoid alcohol: It is best not to drink alcohol. The less alcohol you drink, the more you reduce your risk.
  • Avoid alcohol: Great job reducing alchohol consumption reduces your risk of cancer, keep up the good work.
  • Eat healthy: Eat plenty of fruits and vegetables, whole grains, beans, and lentils. Limit fast foods, highly processed foods, sugar-sweetened drinks and red meat.
  • Eat healthy: Great job, eating healthy reduces your risk of cancer, keep up the good work.
  • Live smoke free: Do not start smoking, quit smoking, and avoid second-hand smoke. Keep tobacco sacred. Do not smoke commercial tobacco.
  • Live smoke free: Great job on taking action to reduce your risk of cancer, keep up the good work.
  • Get vaccinated: Get vaccinated against human papillomavirus (HPV) if you are eligible. Get vaccinated against hepatitis B if you are eligibile.
  • Get vaccinated: Great job on getting vaccinated against human papillomavirus(HPV)
  • Reduce exposure to radon: Test your home for radon and reduce radon levels in your home.
  • Reduce exposure to radon: Great job on taking action to reduce your risk of cancer, keep up the good work.
  • user answered no to daily life questions

BreastCheck

Eligible for screening 50-74

You are due for a breast screening mammogram. Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to make an appointment. Most women age 50-74 should have a screening mammogram every 2 years.

Not eligible for screening

If you have had a breast screening mammogram in the last two years, you are not currently due. BreastCheck will send you a reminder to make an appointment when you are due for your next screening mammogram. Most women age 50-74 should have a screening mammogram every 2 years.

Call BreastCheck

You may be due for a screening mammogram. Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to find out when you had your last screening mammogram. Most women age 50-74 should have a screening mammogram every 2 years.

Increased Risk

You may be at increased risk for breast cancer. Talk to your healthcare provider to see what screening test is best for you. If you have a personal history of breast cancer, have a family history of breast or ovarian cancers, are of Ashkenazi descent, or are BRCA1 or BRCA2 positive, you are at increased risk for breast cancer.

  • If you are under the age of 50 years, you may need to begin screening earlier.
  • If you are age 50-74 years, you may need to undergo more frequent screening or a different kind of screening.

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260.

Underage

You are not eligible to be screened with BreastCheck. BreastCheck will invite you to have a screening mammogram when you turn 50. Routine screening mammograms are not recommended until age 50 because the potential harms of breast cancer screening outweigh the benefits in younger age groups. If you have a personal history of breast cancer, a family history of breast or ovarian cancer, are of Ashkenazi descent, or are BRCA1 or BRCA2 positive, speak with your healthcare provider about what is best for you. You may need to start breast cancer screening before age 50.

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260

Overage

Routine screening mammograms are not recommended. For most women over the age of 74, the potential harms of breast cancer screening outweigh the benefits. Talk to your healthcare provider to determine if the benefits of continuing screening outweigh the potential harms for you. Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) if you choose to make an appointment.

Transgender female

You may be eligible for breast cancer screening. If you are a transgender female age 50-74:

  • who has taken gender-affirming hormones for 5 or more years, you should have routine screening mammograms. Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to make an appointment.
  • who has taken gender-affirming hormones for 5 years or more and you have breast implants, you should be screened at a diagnostic imaging centre. You can self-refer to the breast health centre. Call Breast Health Center at 1-888-501-5219 or 204-235-3906 to make an appointment
  • who has taken gender-affirming hormones for 5 years or more and you have breast implants, you should be screened at a diagnostic imaging centre. Speak with your healthcare provider or you can self-refer to the breast health centre. Call Breast Health Center at 1-888-501-5219 or 204-235-3906 to make an appointment

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260

Transgender male

You may be eligible to be screened with BreastCheck. If you are a transgender male age 50-74 who has:

  • not had top surgery (i.e., you still have breast tissue), you should have routine screening mammograms. Call BreastCheck at 1-855-95-CHECK (1-855-952-4325) to make an appointment.
  • had top surgery (i.e., you no longer have breast tissue), you should have an individualized assessment at a diagnostic imaging centre to determine what screening test is best for you. A doctor’s referral is required.

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260

Default

You have not provided enough information to make a recommendation for breast cancer screening. Most women age 50-74 should have a screening mammogram every 2 years. Transgender and non-binary persons may also need regular breast cancer screening. For more information, call BreastCheck at 1-855-95-CHECK (1-855-952-4325) or speak to your healthcare provider.

Not Applicable for Breast Cancer Screening

CervixCheck

Eligible for screening 21-69

You are due for cervical cancer screening. Make an appointment with your healthcare provider or find a Pap test clinic in your community. Most women age 21-69 who have ever had sexual contact should have cervical cancer screening with a Pap test every 3 years. If you need a healthcare provider, call the Family Doctor Finder toll-free at 1-866-690-8260.

Not eligible for screening at this point in time

If you have had a cervical cancer screening test in the last three years, you are not currently due. CervixCheck will send you a reminder to make an appointment when you are due for your next cervical cancer screening test. Most women age 21-69 who have ever had sexual contact should have cervical cancer screening with a Pap test every 3 years.

Not eligible for screening

Cervical cancer screening is not recommended. Women who have never had sexual contact can delay Pap testing until after sexual contact.

Underage

Cervical cancer screening is not recommended.Routine cervical cancer screening with Pap tests is not recommended until age 21. This is because the potential harms of cervical cancer screening outweigh the benefits for younger women. Most women age 21-69 who have ever had sexual contactshould have a Pap test every 3 years. If you have had sexual contact, you should begin cervical cancer screening with a Pap test at age 21. Some women may choose to delay until age 25. If you have not had sexual contact, you can delay Pap testing until after you begin sexual contact.

Overage

Cervical cancer screening is not recommended. Routine cervical cancer screening with Pap tests is not recommended for most women over age 69. This is because the potential harms of cervical cancer screening outweigh the benefits. Screening can be stopped if you are over age 69 and have had three negative Pap test results in the last 10 years. If you have never had a Pap test and have had sexual contact, you should have a Pap test every year for 3 years. If the results are all negative, you can stop having Pap tests.

Transgender female/non-binary 21-69

Cervical cancer screening may not be recommended. Cervical cancer screening is not recommended in transgender females who have not had sexual contact.

If you are a transgender female age 21-69 who has had sexual contact and have:

  • not had a vaginoplasty/bottom surgery, cervical cancer screening is not recommended.
  • had a vaginoplasty without the creation of a neo-cervix, cervical cancer screening is not recommended.
  • had a vaginoplasty that included the creation of a neo-cervix, cervical cancer screening with a Pap test is recommended.

Talk to your healthcare provider to learn more or to make a cervical cancer screening appointment.

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260.

Transgender male/non-binary 21-69

Cervical cancer screening may be recommended. Cervical cancer screening is not recommended in transgender males who have not had sexual contact.

If you are a transgender male age 21-69 who has had sexual contact and you have:

  • had your cervix removed and you have a history of cervical cancer or high-grade cervical dysplasia, cervical cancer screening with a vault test is recommended.
  • Had your cervix removed and you do not have a history of cervical cancer or high-grade dysplasia, cervical cancer screening is not recommended.
  • not had your cervix removed, cervical cancer screening with a Pap test is recommended.

Talk to your healthcare provider to learn more or to make a Pap test appointment. If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260.

Transgender male OR Transgender female less than 21, more than 69

Cervical cancer screening is not recommended. Routine cervical cancer screening with Pap tests is recommended for people age 21-69 years. This is because the potential harms of cervical cancer screening outweigh the benefits in younger and older age groups.

Default

You have not provided enough information to make a recommendation for cervical cancer screening. Most women age 21-69 who have ever had sexual contact, should have a Pap test every 3 years. Transgender people may also need to be screened for cervical cancer. For more information, or to find out if your eligible for screening, contact CervixCheck at 1-855-95-CHECK (1-855-952-4325).

Not Applicable for Cervical Cancer Screening

ColonCheck

Average risk 50 to 74

You are due for colon cancer screening. Most people age 50-74 years at average risk for colon cancer should complete a FIT every 2 years. Request your test kit by completing this online form or calling ColonCheck at 1-855-95-CHECK (1-855-952-4325).

Request a FIT kit

Average risk result 50 to 74 years old with screening history

You are not currently due for colon cancer screening. Most people at average risk for colon cancer age 50-74 should complete a FIT every 2 years.

Average risk and less than 50 years old

Colon cancer screening is not recommended at this time. ColonCheck will send you a test kit when you turn 50 years old. For most people under the age of 50, the potential harms of screening outweigh the benefits. Most people at average risk age 50-74 should complete a FIT every 2 years.

Average risk and older than 74 years old

Colon cancer screening is not recommended. For most people over the age of 74, the potential harms of screening outweigh the benefits. Most people at average risk age 50-74 should complete a colon cancer screening test every 2 years. To find out more about the potential harms and benefits of screening over the age of 74, talk to your healthcare provider.

If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260.

Increased risk 50 to 74

You may be at increased risk for colon cancer and a FIT may not be the recommended screening test for you.Most people at increased risk should go for a colonoscopy at screening intervals determined by their risk factors, as advised by their healthcare provider.

Please talk to your healthcare provider to discuss what screening test is best for you. If you need a healthcare provider, call Family Doctor Finder toll-free at 1-866-690-8260.

Default when not enough information is chosen

You have not provided enough information to make a recommendation for colon cancer screening. Most average risk individuals age 50-74 years should complete a FIT every 2 years. If you would like to request a test kit, please click on the button below. For more information, or to find out if you are eligible for screening, contact ColonCheck at 1-855-95-CHECK (1-855-952-4325).

Request a FIT kit

Print your results to keep for your record and to bring with you to your next appointment with your healthcare provider. If you have any questions, please talk to your healthcare provider or contact CancerCare Manitoba Prevention and Screening at 1-855-95-CHECK or screening@cancercare.mb.ca.