Should My Teen Get the HPV Vaccine? A Doctor’s Guide

The HPV vaccine helps protect teens from future HPV-related cancers and diseases, giving both children and families peace of mind and long-term health protection.

As a parent, you want to give your child the best possible start in life, and that includes protecting their long-term health. One important step is the human papillomavirus (HPV) vaccine, which protects against the virus. HPV is extremely common and is linked to several cancers and conditions that can affect both men and women.

The good news is that HPV-related diseases are largely preventable with vaccination. For many parents in Singapore, the question is not just whether the vaccine is necessary, but also when their teen should receive it, how safe it is, and what to expect.

This guide will walk you through everything you need to know about the HPV vaccine, based on current recommendations and clinical evidence.

What is HPV and Why is it a Concern?

HPV, or human papillomavirus, is one of the most prevalent viral infections worldwide. It is estimated that more than half [1] of sexually active people will be exposed to HPV at some point in their lives. The virus spreads primarily through skin-to-skin and sexual contact, and because it is so common, most people who contract HPV may not even realise it.

The body’s immune system often clears the infection naturally within a year or two. However, some HPV strains are more persistent [2]. When these high-risk types remain in the body, they can cause changes in cells that may develop into cancer years or even decades later.

The high-risk HPV strains are strongly associated with several cancers, including:

Meanwhile, low-risk strains of HPV, although not cancer-causing, are responsible for genital warts [7], a common and distressing condition that can affect self-esteem and relationships.

In Singapore, cervical cancer continues to be a significant concern [8], ranking among the top 10 cancers in women. According to local statistics, hundreds of women are diagnosed every year, with many cases detected in their 30s to 50s. This is an age range when women are often balancing careers, families, and personal commitments.

What is important to remember is that HPV-related diseases are largely preventable. By vaccinating your teens before they are exposed to the virus, you are providing them with a powerful layer of protection against cancer and other HPV-related conditions later in life.

How Does the HPV Vaccine Work?

HPV vaccination works by safely mimicking the virus, helping the body build long-lasting protection without infection.

The HPV vaccine is designed to teach the body’s immune system how to recognise and fight HPV before an actual infection occurs. It contains virus-like particles (VLPs) that resemble the outer shell of the human papillomavirus but contain no genetic material. This means the vaccine cannot cause HPV infection.

Once the vaccine is given, the immune system responds by producing antibodies that remain in the body for years. If your teens are later exposed to HPV, these antibodies act like a protective shield, neutralising the virus before it can cause any damage.

This pre-emptive protection is why vaccination works best before HPV exposure, ideally during the teenage years.

Gardasil-4 vs Gardasil-9: What is the Difference?

Parents may come across two versions of the HPV vaccine: Gardasil-4 and Gardasil-9. It can be confusing to know which one is more suitable for their teens. Both vaccines are designed to protect against the most dangerous strains of HPV, but the difference lies in the breadth of coverage.

Gardasil-4 was the earlier version and protects against four HPV types:

Gardasil-9 builds on this protection by covering the same four strains as Gardasil-4 plus five additional high-risk strains: 31, 33, 45, 52, and 58. These added strains are significant because they account for an additional 20% of cervical cancers globally [11]. By including them, Gardasil-9 protects against about 90% of all cervical cancers, as well as other HPV-related cancers in both men and women.

This broader coverage is why Gardasil-9 is now the standard vaccine in Singapore. It offers families greater reassurance that their teens are receiving more comprehensive protection available today.

At What Age Should My Teen Get the HPV Vaccine?

Timing is crucial for HPV vaccination. Both the World Health Organization (WHO) and the Ministry of Health (MOH) in Singapore recommend vaccination during adolescence, ideally before the onset of sexual activity.

Generally, the time frame is as follows:

Is the HPV Vaccine Safe for Teenagers?

The HPV vaccine is safe, well studied, and closely monitored worldwide — protecting teens today for a healthier tomorrow.

When it comes to any vaccine, safety is often the first question on a parent’s mind. The HPV vaccine has one of the most extensively studied safety records among modern vaccines. Since its introduction more than 15 years ago, over 500 million doses have been administered worldwide. Data from numerous large-scale studies, as well as continuous monitoring by global health authorities, show that the vaccine is both safe and effective.

Common, short-term side effects

Like many other routine vaccines, the HPV vaccine may cause mild and temporary side effects. These include:

These reactions are usually short-lived, lasting a day or two, and indicate that the immune system is responding to the vaccine.

Rare, serious side effects

Serious side effects are extremely rare. Ongoing global safety monitoring has found no consistent evidence [12] linking the HPV vaccine to long-term complications. The vaccine’s safety record is comparable to other widely used childhood and adolescent vaccines.

Myths and misconceptions

Misinformation online has led some parents to worry about issues such as infertility, autoimmune conditions, or chronic illnesses. Extensive scientific research has confirmed that the HPV vaccine does not cause infertility or affect long-term health [13]. Multiple studies conducted across different populations and age groups have consistently reached the same conclusion, which is that the HPV vaccine is safe.

Local reassurance in Singapore

In Singapore, all vaccines, including Gardasil 9, are strictly regulated by the Health Sciences Authority (HSA). The HSA continuously monitors vaccine safety and effectiveness, giving parents the added assurance that their teen is receiving a trusted and thoroughly vetted vaccine.

How Many Doses for HPV Are Needed and What’s the Schedule?

The number of doses required depends on your child’s age at the time of vaccination. This is because younger immune systems tend to respond more efficiently, meaning fewer doses are needed for lasting protection.

The timeline generally looks like:

If your teens miss a scheduled dose, there is no need to restart the entire course. Our doctor will adjust the timing to ensure the series is completed. What matters most is that your teens receive the full set of doses, as this ensures protection against HPV.

Is the HPV Vaccine Subsidised in Singapore?

The HPV vaccine is part of Singapore’s broader strategy to prevent cancer and protect population health. To make it more accessible for families, several subsidy schemes are in place:

What Should I Expect During My Teen’s HPV Vaccination Appointment?

The HPV vaccine safeguards women’s health by preventing cervical cancer and other HPV-related diseases before they develop.

For many parents and teens, knowing what to expect can help reduce any nervousness about vaccination. The process is simple, efficient, and usually completed within half an hour.

It entails:

Our clinic will also schedule reminders for the next dose, helping your teen stay on track to complete the full vaccination series.

Give Your Teen a Head Start on Health

The HPV vaccine is a safe and effective tool in preventing HPV-related cancers and diseases. By choosing to vaccinate your teens, you are investing in their long-term health and protecting them from conditions that may only surface decades later.

At Phoenix Medical Group, we understand that parents want clear answers and reliable guidance when it comes to their child’s health. Our doctors are here to provide professional advice, address your concerns and ensure your teens receive the best care.

Book an HPV vaccine appointment with Phoenix Medical Group today and give your teen the protection they deserve.

References

  1. Ault K. A. (2006). Epidemiology and natural history of human papillomavirus infections in the female genital tract. Infectious diseases in obstetrics and gynecology, 2006 Suppl, 40470. https://doi.org/10.1155/IDOG/2006/40470
  2. So, K. A., Lee, I. H., Lee, K. H., Hong, S. R., Kim, Y. J., Seo, H. H., & Kim, T. J. (2019). Human papillomavirus genotype-specific risk in cervical carcinogenesis. Journal of gynecologic oncology, 30(4), e52. https://doi.org/10.3802/jgo.2019.30.e52
  3. Cervical Cancer Causes, Risk Factors, and Prevention - NCI. (2022). In www.cancer.gov. https://www.cancer.gov/types/cervical/causes-risk-prevention
  4. Baba, S. K., Alblooshi, S. S. E., Yaqoob, R., Behl, S., Al Saleem, M., Rakha, E. A., Malik, F., Singh, M., Macha, M. A., Akhtar, M. K., Houry, W. A., Bhat, A. A., Al Menhali, A., Zheng, Z. M., & Mirza, S. (2025). Human papilloma virus (HPV) mediated cancers: an insightful update. Journal of translational medicine, 23(1), 483. https://doi.org/10.1186/s12967-025-06470-x
  5. Sabatini, M. E., & Chiocca, S. (2020). Human papillomavirus as a driver of head and neck cancers. British journal of cancer, 122(3), 306–314. https://doi.org/10.1038/s41416-019-0602-7
  6. Hussein, A. A., Helder, M. N., de Visscher, J. G., Leemans, C. R., Braakhuis, B. J., de Vet, H. C., & Forouzanfar, T. (2017). Global incidence of oral and oropharynx cancer in patients younger than 45 years versus older patients: A systematic review. In European Journal of Cancer (Vol. 82, pp. 115–127). Elsevier BV. https://doi.org/10.1016/j.ejca.2017.05.026
  7. Bhatia, N., Lynde, C., Vender, R., & Bourcier, M. (2013). Understanding genital warts: epidemiology, pathogenesis, and burden of disease of human papillomavirus. Journal of cutaneous medicine and surgery, 17 Suppl 2, S47–S54
  8. Chan, Y.M., Ismail, M.Z.H. & Khaw, WF. Factors influencing the prevalence of cervical cancer screening in Malaysia: a nationwide survey. BMC Women's Health 23, 389 (2023). https://doi.org/10.1186/s12905-023-02553-3
  9. Works Cited Ramakrishnan, S., Partricia, S., & Mathan, G. (2015). Overview of high-risk HPV’s 16 and 18 infected cervical cancer: Pathogenesis to prevention. In Biomedicine & Pharmacotherapy (Vol. 70, pp. 103–110). Elsevier BV. https://doi.org/10.1016/j.biopha.2014.12.041
  10. Genital Warts (Condylomata Acuminata): Background, Pathophysiology, Etiology. (2025). https://emedicine.medscape.com/article/763014-overview?form=fpf
  11. Human Papillomavirus (HPV) Vaccines - NCI. (2024). In www.cancer.gov. https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-vaccine-fact-sheet
  12. Parent Concerns About HPV Vaccine Safety Increasing - NCI. (2021). In www.cancer.gov. https://www.cancer.gov/news-events/cancer-currents-blog/2021/hpv-vaccine-parents-safety-concerns
  13. Schmuhl, N. B., Mooney, K. E., Zhang, X., Cooney, L. G., Conway, J. H., & LoConte, N. K. (2020). No association between HPV vaccination and infertility in U.S. females 18-33 years old. Vaccine, 38(24), 4038–4043. https://doi.org/10.1016/j.vaccine.2020.03.035 

Comprehensive Health Screening Guide in Singapore: Which Screening Should You Get?

Health screenings are an important aspect of preventive healthcare, helping individuals detect potential issues early, manage existing conditions effectively, and maintain overall well-being. Health screenings are more than just routine check-ups—they are proactive steps toward a longer and healthier life.

In Singapore, common health issues include diabetes [1], cardiovascular diseases and various types of cancer, several of which can be managed with early intervention. This guide will help you understand the types of health screenings that are relevant to you based on your age, gender, lifestyle, and risk factors.

Benefits of Regular Health Screenings

Regular screenings are vital for early detection and prevention. Beyond addressing physical health, these check-ups also provide peace of mind and the opportunity to make lifestyle changes and take better care of your health.

Here are some major benefits of regular health screenings: 

Regular health screenings allow for early detection and management of medical conditions so you can enjoy a long and healthier life.

Health screenings, although general, are best tailored to each individual specifically depending on factors such as:

This is why it’s important to book a consultation to evaluate each individual and their risk factors before recommending an appropriate health screening. 

Health Screenings for Adults (General Recommendations)

Health screenings help adults stay ahead of health issues and challenges. Routine screenings give us valuable insights into our health and well-being, allowing us to detect and manage conditions such as high blood pressure and diabetes early. These tests offer a practical way to safeguard our health and make informed decisions.

Here are the general health screening recommendations for adults and their purposes:

Preventive Cancer Screenings: 

Other Essential Tests

General health screenings in Singapore include blood tests, BMI test, kidney function tests, and more.

Health Screenings by Age

Health screenings are aligned with the specific needs of different age groups. In your 20s and 30s, baseline tests like blood pressure, cholesterol, and blood sugar assessments are typically recommended along with mental health screenings. In your 40s, more comprehensive screenings such as mammograms, Pap smears and colonoscopies become crucial for detecting early signs of cancer. Women may also benefit from bone health assessments as hormonal changes begin to impact bone density. 

In your 50s and beyond, screenings intensify to include heart health evaluations like stress tests and ECGs, as well as checks for dementia risk, vision, and hearing impairments. Tailoring screenings to your age ensures timely detection and intervention and contributes to more positive health outcomes.

Here are the recommended health screenings based on age groups: 

Age GroupRecommended Health Screenings
30s – 40sCancer screenings (mammogram, Pap smear, colonoscopy), Bone health tests, Hormonal health checks, Sexually Transmitted Diseases (STD) checks
40s – 50sCancer screenings (mammogram, Pap smear, colonoscopy), Bone health tests, Hormonal health checks 
50s and beyondFrequent cancer screenings, Heart health tests (stress test, ECG), Dementia risk, Vision and hearing checks

Health Screenings Based on Gender

Health screenings often vary by gender due to differences in anatomy, hormonal influences, and disease risks. While general tests such as blood tests and cholesterol checks are the same recommendations for both genders, other tests differ. For women, screenings often include reproductive and hormonal health, including Pap smears [5] for cervical cancer, mammograms for breast cancer, and bone density tests to monitor osteoporosis risk, particularly after menopause. 

For men, health screenings may also include prostate cancer screenings (PSA tests) [6]  and guidance on testicular self-examinations to help detect specific cancers early. Gender-specific screenings provide a comprehensive approach to maintaining health and addressing risks effectively.

Here are some recommended health screenings based on gender: 

GenderRecommended Health Screenings 
WomenCervical Cancer Screening (Regular Pap smears), Breast Cancer Screening (Mammograms starting at age 40), Bone density tests, Pregnancy-related screenings, Hormonal checks 
Men Prostate Cancer Screening (Men aged 50 and above), Cardiovascular Health Check, Hormonal checks 

Regular health screenings encourage proactive management and lifestyle changes that benefit the whole family.

Health Screenings Based on Lifestyle, Risk Factors and Specific Conditions 

Your lifestyle and personal risk factors also influence the type of health screenings you need. Smokers, for example, should prioritise lung cancer screenings and respiratory function tests to detect potential damage early. 

If you have a family history of chronic diseases such as diabetes, heart disease, or cancer, genetic testing and enhanced cancer screenings can provide important insights. Sedentary lifestyles increase the risk of cardiovascular diseases and diabetes, making ECGs, stress tests and blood sugar screenings essential. 

If you already have a specific condition, you may also require additional health screenings. Here are some health screenings based on lifestyle and risk factors that you should consider: 

Lifestyle/Risk FactorsRecommended Health Screenings
Smokers Lung cancer screening, Respiratory function tests, Cardiovascular health check, General health screening
Family history of chronic diseasesCancer screenings, Cardiovascular health check, Diabetes screening, Bone health assessment, General health screening, Kidney function test
Sedentary Cardiovascular health check, General health screening, Musculoskeletal assessments, Mental health screening, Liver and kidney function test
Specific condition Chronic Illnesses: Lipid profile test, Kidney Function tests, Blood pressure, Diabetes test, Liver function test, Thyroid profile. Heart Disease, and Stroke Risk: ECG test, EchocardiogramCholesterol levels, CT Angiogram, Lipoprotein(a)Homocysteine

Those with sedentary lifestyles should consider health screenings and make lifestyle adjustments where necessary. 

How to Choose a Health Screening Package in Singapore

Selecting the right health screening package in Singapore depends on your individual health needs, budget and personal preferences.

Private health screening packages are available for those who prefer more comprehensive or personalised assessments. When considering a screening package, it is helpful to review the range of tests included, the relevance of those tests to your age and risk profile, and the overall value of the package.

If you are unsure which screenings are most appropriate for you, consulting a doctor can help determine the most suitable tests based on your medical history, lifestyle and risk factors. A personalised approach ensures that screenings are both relevant and effective in identifying potential health concerns early.

When to Seek Specialist Care

If your health screening results indicate abnormal findings, it is important to seek medical advice promptly. Abnormal results may suggest underlying conditions that require further evaluation.

Depending on the findings, your doctor may recommend additional tests or refer you to a specialist for a more detailed assessment and treatment. For example, abnormal cardiac test results may require evaluation by a cardiologist, while suspicious cancer screening findings may require consultation with an oncologist. Early medical attention allows conditions to be managed more effectively and helps improve long-term health outcomes.

Conclusion

Regular health screenings play an important role in maintaining long-term health and identifying potential issues at an early stage. Screening tests allow individuals to monitor their health, make informed lifestyle decisions and receive timely medical care when needed.

If you are unsure which health screenings are appropriate for you, speaking with a doctor can help you understand your risk factors and determine the most suitable screening plan for your age, health status and lifestyle.

Frequently Asked Questions 

What are the most important health screenings?

For most adults, important health screenings include body mass index (BMI), cholesterol and blood pressure screening, kidney function tests, tumour markers, and more. However, it depends on the individual and their lifestyle, age, and gender.

How often should I do health screening in Singapore?

The frequency of a health screening depends on various factors, including your age, gender, family history, and overall health status. For most adults, scheduling a comprehensive health screening every one to two years is an ideal approach to maintaining well-being. Consult with your doctor for more information.

Is health screening the same as a medical check-up?

No, they are related but different. Health screenings are specific tests based on age, gender, or risk factors, while a medical check-up is a general examination by a doctor. Screenings are an important aspect of check-ups and help doctors gain a comprehensive understanding of your health to determine treatment or lifestyle changes. 

References

  1. Channel NewsAsia. (2023, November 17). War against diabetes: Doctors seeing rise in patients below 40 due to lifestyle habits, early screening. Channel NewsAsia. Retrieved from: https://www.channelnewsasia.com/singapore/war-against-diabetes-singapore-doctors-seeing-rise-young-patients-below-40-lifestyle-habits-stress-early-screening-treatment-3921976 
  2. Mayo Clinic. (n.d.). High blood pressure (hypertension) – Symptoms and causes. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410 
  3. Cleveland Clinic. (n.d.). Cholesterol: Understanding levels & numbers. Cleveland Clinic. Retrieved from: https://my.clevelandclinic.org/health/articles/11920-cholesterol-numbers-what-do-they-mean 
  4. Singapore Heart Foundation. (n.d.). BMI calculator. Singapore Heart Foundation. Retrieved from https://www.myheart.org.sg/tools-resources/bmi-calculator/ 
  5. Mayo Clinic. (n.d.). Pap smear: Overview. Mayo Clinic. Retrieved from https://www.mayoclinic.org/tests-procedures/pap-smear/about/pac-20394841 
  6. Singapore Cancer Society. (n.d.). Prostate cancer. Singapore Cancer Society. Retrieved from  https://www.singaporecancersociety.org.sg/learn-about-cancer/types-of-cancer/prostate-cancer.html 
  7. Ministry of Health Singapore. (2024, December 2). Community Health Assist Scheme (CHAS). Ministry of Health. Retrieved from https://www.moh.gov.sg/managing-expenses/schemes-and-subsidies/chas 
  8. Ministry of Health Singapore. (2024, December 2). Enhanced Screen for Life. Ministry of Health. Retrieved from https://www.moh.gov.sg/managing-expenses/schemes-and-subsidies/enhanced-screen-for-life 

⁠I’ve Hit My 30s — What Health Screenings Should I Go For? Answered By a Doctor

Hitting your 30s can feel like a bittersweet milestone. You are wiser, more confident and likely juggling a whirlwind of responsibilities. But as life shifts gears, so does your body. This decade often marks the beginning of subtle changes in health, changes that, if caught early, can help you stay ahead of the curve for years to come. While it’s easy to get swept up in career goals, family life, or personal aspirations, taking a moment to prioritise your health can make all the difference.

Think of your 30s as the foundation-building phase for your long-term well-being. Just like you plan for the future in other aspects of life, regular health screenings are a proactive way to ensure your body is ready to support your ambitions. These screenings aren’t just about addressing current concerns; they are about prevention, early detection and giving you peace of mind.

This guide provides an overview of the key health screenings to consider in your 30s, designed to help you prioritise your well-being. 

As you approach your 30s, it is important for you to prioritise health screenings and consult a doctor to detect potential issues early and maintain long-term wellness.

1. General Health Screenings

As a doctor, one of the first things I tell my patients in their 30s is that this is the decade where prevention is key. Many health conditions, like hypertension, high cholesterol and even diabetes, can develop silently during this time without any noticeable symptoms. That’s why regular health screenings are so crucial; they allow us to detect and address these issues early, often before they become serious.

When we talk about general health screenings, we are not just ticking boxes; we are creating a baseline for your health. For example, tests for blood pressure, cholesterol levels, and blood sugar help us identify risks for cardiovascular disease or diabetes. These are common conditions that, if caught early, can be managed effectively through lifestyle changes or medication.

Another thing to keep in mind is that your screening should be personalised. Family history, lifestyle factors, and even your work environment play a role in determining which tests are most relevant for you. For instance, if you have a family history of heart disease or diabetes, you should start screenings earlier or do them more frequently.

I always remind my patients that these check-ups are about creating a roadmap for better health. They give us a chance to talk about diet, exercise and stress management, which are just as important as the numbers on a lab report. 

2. Cardiovascular Health

In your 30s, I often notice patients starting to ask more questions about their heart health, and rightly so. This is the decade when the effects of years of habits, whether good or bad, begin to show. It’s not uncommon to see slightly elevated blood pressure or cholesterol levels during this time, often without any symptoms. That’s why I encourage regular check-ups and simple screenings to ensure we catch any changes early. These small steps can make a big difference in keeping your heart healthy and your future bright.

Blood Pressure Monitoring

Did you know high blood pressure, or hypertension, is often called the “silent killer”? ([1] It rarely shows symptoms until it has caused significant damage to your heart or other organs. Monitoring your blood pressure during routine check-ups can detect hypertension early and allow timely intervention through lifestyle changes or medications. These simple screenings can prevent complications like heart disease or stroke.

It is essential to regularly monitor your blood pressure in your 30s as doing so can help identify early signs of cardiovascular risks. 

Cholesterol Level Assessment

A lipid profile test is another essential screening in your 30s [2]. Elevated cholesterol, particularly LDL (bad cholesterol), can lead to plaque build-up in your arteries, which significantly increases the risk of heart attacks and strokes. If your cholesterol levels are higher than recommended, we can work together to develop a plan involving dietary changes, exercise routines, or medications to bring them under control.

Cardiac Screening Procedures

Depending on your risk profile and symptoms, doctors may recommend several cardiac screening procedures to evaluate heart health more thoroughly. These tests help detect structural abnormalities, rhythm disorders or potential blockages in the blood vessels.

In your 30s, cardiovascular tests like Electrocardiogram (ECG) can help detect heart irregularities early and ensure long-term heart health.

Laboratory Investigations for Cardiac Risk

In addition to imaging tests, we recommend specific lab investigations to gain a comprehensive understanding of your cardiovascular health:

Whether you’re navigating a high-stress career, adjusting to parenthood or simply working towards a healthier lifestyle, regular cardiac screenings are invaluable. These tests are not just for those with a family history of heart disease; they are for anyone who values their well-being. 

By prioritising these screenings now, you are building a solid foundation for a strong and healthy heart in the decades ahead.

3. Cancer Screenings

When it comes to cancer, early detection is your best defence. Many of my patients in their 30s ask whether it’s too soon to start thinking about cancer screenings. My answer is always the same: it’s never too early to prioritise your health, especially if you have a family history or other risk factors. Let me explain why these screenings matter and which ones you should consider.

Breast Cancer Screening

In your 30s, taking a proactive approach to breast health is essential, particularly if you have a family history of breast cancer or other risk factors. Routine mammograms are typically recommended starting at age 40 for women at average risk, but for those with a higher risk, earlier screenings may be necessary [5]. It’s always best to discuss your individual risk factors and screening plan with your healthcare provider.

For women in their 30s, breast ultrasounds can be a helpful option. This imaging technique uses sound waves to examine breast tissue and can detect abnormalities such as lumps or cysts. 

For those looking for additional and comprehensive screening methods, the Mastocheck Early Breast Cancer Screening is a valuable tool [6]. This non-invasive blood test utilises proteomics-based early diagnostic technology to detect early-stage breast cancer. It’s particularly beneficial for women who may not yet need routine mammograms or who want an extra layer of reassurance.

Women in their 30s must prioritise regular breast screenings, such as ultrasounds, to detect any abnormalities early and ensure optimal breast health.

Multi-Cancer Early Screening

Many people assume cancer screenings are limited to specific types of cancer, such as breast or colorectal cancer. However, advances in medical technology have introduced blood-based screening approaches that may help detect signals associated with multiple cancers from a single sample.

These tests analyse certain biomarkers or molecular signals in the blood that may indicate the presence of cancer at an early stage. Some cancers, such as pancreatic or ovarian cancer, often develop without noticeable symptoms in their early stages, which makes early detection particularly valuable.

Multi-cancer early detection technologies are still evolving, but they highlight how modern medicine is expanding the possibilities of preventive screening. For individuals with a strong family history of cancer or those seeking a broader assessment of their health risks, discussing available screening options with a doctor can help determine whether additional testing may be appropriate.

Cancer screening is not about waiting for symptoms to appear. It is about identifying potential risks early so that timely medical attention can be provided when needed. Screening methods such as mammography, breast ultrasound and other recommended tests remain important tools in detecting cancer early and improving treatment outcomes.

Summary

Entering your 30s is an important milestone, a decade when proactive health choices can have a lasting impact on your future well-being. The screenings discussed in this guide, including general health checks, cardiovascular assessments and cancer screenings, can help detect potential health issues early and support long-term wellness.

Health screenings are not simply routine tests; they are opportunities to identify silent health risks, make informed lifestyle decisions and take preventive action before conditions become serious. Building a habit of regular screenings in your 30s helps create a strong foundation for better health in the decades ahead.

If you are unsure which screenings are most suitable for you, consulting our doctor can help determine the appropriate tests based on your age, medical history and risk factors. Early guidance and timely screening can make a significant difference in maintaining long-term health.

References 

  1. Research, C. for D. E. and. (2024). High blood pressure–understanding the silent killer. FDA. https://www.fda.gov/drugs/special-features/high-blood-pressure-understanding-silent-killer 
  2. Lee, Y., & Siddiqui, W. J. (2025). Cholesterol levels. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK542294/ 
  3. Bodde, M. C., Hermans, M. P. J., Jukema, J. W., Schalij, M. J., Lijfering, W. M., Rosendaal, F. R., Romijn, F. P. H. T. M., Ruhaak, L. R., van der Laarse, A., & Cobbaert, C. M. (2019). Apolipoproteins A1, B, and apoB/apoA1 ratio are associated with first ST-segment elevation myocardial infarction but not with recurrent events during long-term follow-up. Clinical Research in Cardiology, 108(5), 520–538. https://doi.org/10.1007/s00392-018-1381-5 
  4. Sherwani, S. I., Khan, H. A., Ekhzaimy, A., Masood, A., & Sakharkar, M. K. (2016). Significance of hba1c test in diagnosis and prognosis of diabetic patients. Biomarker Insights, 11, 95–104. https://doi.org/10.4137/BMI.S38440 
  5. omlinson-Hansen, S. E., Budh, D. P., & Sapra, A. (2025). Breast cancer screening in the average-risk patient. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK556050/ 
  6. Kim, Y., Kim, H.-K., Lim, C., Kim, S., Ahn, K.-G., & Noh, D.-Y. (2022). The usefulness of a three-protein signature blood assay (Mastocheck®) for follow-up after breast cancer surgery. Journal of Cancer Research and Clinical Oncology, 149(9), 5733–5741. https://doi.org/10.1007/s00432-022-04550-9 

Flu Vaccinations in Singapore: Who Needs Them and Why?

The influenza vaccine provides yearly protection against circulating flu strains, which helps reduce the risk of serious illness and transmission.

Influenza, more commonly known as the flu, is a contagious respiratory illness caused by influenza viruses. In Singapore, the flu is fairly common, given the hot and humid weather all-year-round, creating a conducive environment for viruses to survive and circulate easily. 

Flu vaccinations remain the most effective way to prevent influenza and its complications. It not only reduces the likelihood of falling ill but also limits the severity of symptoms if infection occurs. Moreover, getting vaccinated helps reduce the spread of the virus in the community as it protects those who are unable to receive the vaccine, such as very young infants or individuals with specific medical conditions. In this article, we will look into flu vaccinations in Singapore, who needs them and why. 

Understanding the Flu: Spread and Symptoms

Influenza is an acute viral infection caused by influenza viruses, which primarily affect the respiratory system. There are four main types of influenza viruses, A, B, C, and D, but only types A and B are responsible for seasonal flu outbreaks in humans [4]. These viruses are highly infectious and have the ability to mutate rapidly, resulting in new strains that can vary from year to year.

Influenza spreads mainly through droplets expelled when an infected person coughs, sneezes, or talks. These droplets can land in the mouths or noses of nearby individuals or be inhaled into the lungs. The virus can also spread through contact with contaminated surfaces, such as door handles or shared devices, followed by touching the face. Because it can be transmitted before symptoms appear and up to a week after falling ill, influenza is particularly difficult to contain without proactive measures like vaccination and good hygiene practices.

Potential complications of influenza include:

Influenza is a contagious respiratory infection that spreads easily and can lead to serious health complications, especially in high-risk groups.

Why is the flu so common in Singapore?

The flu is relatively common in Singapore for the following reasons:

Who Should Consider a Flu Vaccine?

Influenza vaccination is recommended for everyone aged 6 months and older, with rare exceptions. The Ministry of Health (MOH) in Singapore [5], along with global health authorities such as the World Health Organization (WHO) [6], advises annual flu vaccination as a key preventive measure. This is because influenza viruses evolve constantly, and the vaccine is updated regularly to offer protection against the most common circulating strains.

While the general population can benefit from vaccination, certain groups face a significantly higher risk of developing serious complications from the flu. For these individuals, the flu vaccine is not only a preventive measure, it can be life-saving.

Elderly Individuals (65 years and Above)

Older adults are more vulnerable to severe flu-related illnesses [7]. With age, the immune system weakens, which minimises the body’s ability to fight infections effectively. Influenza in the elderly is more likely to lead to hospitalisation, pneumonia, and, in some cases, death. Annual vaccination offers critical protection by reducing the severity of illness and the risk of complications.

Young Children (6 months to Under 5 Years)

Young children, particularly those under five years of age, have less developed immune systems, which makes them more susceptible to influenza and its complications, including febrile seizures and respiratory infections [8]. The flu vaccine helps to strengthen their immunity and reduce transmission in childcare settings and homes.

Pregnant Women

Pregnant women are more prone to severe flu symptoms and complications, especially in the later stages of pregnancy [9]. Importantly, the flu vaccine also provides protection to the unborn child, with antibodies passed from mother to baby. Vaccination is safe during any trimester and is strongly recommended as part of routine maternal care.

Individuals with Chronic Medical Conditions

People living with chronic conditions such as diabetes, asthma, chronic lung disease, heart disease, or compromised immune systems are more likely to experience complications from the flu [10]. Influenza can exacerbate existing conditions and lead to longer recovery times. Annual vaccination helps lower these risks and prevents disease flare-ups triggered by flu infection.

Healthcare Workers and Caregivers

Those who work in healthcare or provide care to vulnerable individuals, such as the elderly or chronically ill, are at increased risk of contracting and spreading influenza. Vaccinating this group not only protects them but also helps safeguard the health of the people they care for.

When’s the best time to get a flu vaccination?

There is no hard-and-fast rule when it comes to getting a flu vaccine. However, there are certain instances where it may be more beneficial for you, such as:

Addressing Common Misconceptions

Despite widespread public health campaigns and scientific evidence, several misconceptions about the flu vaccine persist. These misunderstandings can discourage people from getting vaccinated; as a result, they may put themselves and others at risk. Here are some common myths associated with influenza vaccines.

“The Flu Vaccine Can Cause The Flu”

This is one of the most persistent myths. In reality, the flu vaccine used in Singapore contains inactivated (killed) viruses or fragments of the virus that cannot cause illness. These components are designed to trigger an immune response, which helps the body build protection without causing infection.

Some people may experience mild side effects after vaccination, such as a low-grade fever, fatigue, or soreness at the injection site, but these are signs that the immune system is responding to the vaccine, not symptoms of influenza. The flu vaccine cannot give you the flu.

“Healthy Individuals Don’t Need the Vaccine”

It’s a common belief that flu vaccination is only necessary for the elderly or people with chronic illnesses. While high-risk groups are more likely to experience severe complications, healthy individuals can still get infected and suffer from uncomfortable symptoms, time off work or school, and, in rare cases, complications like pneumonia.

Moreover, healthy individuals can transmit the virus to others, including family members or colleagues who may be more vulnerable. Vaccinating healthy people contributes to community protection and helps break the chain of transmission.

“Vaccination Is Unnecessary If It’s Not Flu Season”

Unlike temperate countries with clear flu seasons, Singapore experiences influenza activity throughout the year, with peaks typically seen from May to July and November to January. This makes it important to stay protected regardless of the time of year.

Waiting for a “flu season” in Singapore can lead to missed opportunities for prevention. As immunity builds about two weeks after vaccination, timely vaccination, before known peak periods or ahead of travel to countries experiencing seasonal outbreaks, is essential for effective protection.

Potential Side Effects and Safety

The flu vaccine has a strong safety track record and is generally well-tolerated. Still, knowing what to expect can help you feel more confident about your decision.

Common Side Effects

Most people experience no issues after their flu shot. If side effects do occur, they are usually mild and go away within a couple of days. These may include:

These are normal immune responses and a sign that your body is developing protection.

Rare Side Effects

Severe reactions to the flu vaccine are extremely rare. In isolated cases, people may have allergic responses, such as hives, swelling or breathing difficulties, usually within minutes of the injection.

Our clinical team monitors every patient briefly after vaccination and is fully equipped to manage any adverse reaction safely and promptly.

Why Flu Vaccination Matters Now More Than Ever

Influenza continues to be a significant public health concern in Singapore, affecting people of all ages throughout the year. With recurring peaks in flu activity, annual flu vaccination remains one of the most effective ways to reduce the risk of infection, serious complications and transmission to others. It is a simple preventive step that can make a meaningful difference to both individual and community health.

If you are considering a flu vaccination or would like advice on whether it is appropriate for you, arrange a consultation with our doctor. A proper assessment can help you make an informed decision based on your health needs and risk factors.

References 

  1. Flu measures. (22nd April 2008.). Ministry of Health. Retrieved April 7, 2025, from https://www.moh.gov.sg/newsroom/flu-measures/ 
  2. Drobnik, J., Pobrotyn, P., Witczak, I. T., Antczak, A., & Susło, R. (2021). Influenza as an important factor causing increased risk of patients’ deaths, excessive morbidity and prolonged hospital stays. Archives of Medical Science : AMS, 19(4), 941–951. https://doi.org/10.5114/aoms/138145 
  3. Influenza vaccination services offered by community pharmacists under new sandbox initiative. (n.d.). Ministry of Health. Retrieved April 7, 2025, from https://www.moh.gov.sg/newsroom/influenza-vaccination-services-offered-by-community-pharmacists-under-new-sandbox-initiative/ 
  4. CDC. (2024, September 27). Types of influenza viruses. Influenza (Flu). https://www.cdc.gov/flu/about/viruses-types.html 
  5. Protocols and enhanced screening measures to prevent cross-border spread of influenza into singapore. (6th March 2025). Ministry of Health. Retrieved April 7, 2025, from https://www.moh.gov.sg/newsroom/protocols-and-enhanced-screening-measures-to-prevent-cross-border-spread-of-influenza-into-singapore/ 
  6. Strengthening influenza vaccination policies and programmes. (n.d.). Retrieved April 7, 2025, from https://www.who.int/news/item/04-02-2025-strengthening-influenza-vaccination-policies-and-programmes 
  7. Flu and older adults. (2022, June 14). National Institute on Aging. https://www.nia.nih.gov/health/flu/flu-and-older-adults 
  8. CDC. (2024, September 26). Respiratory viruses and young children. Respiratory Illnesses. https://www.cdc.gov/respiratory-viruses/risk-factors/young-children.html 
  9. Oseghale, O., Vlahos, R., O’Leary, J. J., Brooks, R. D., Brooks, D. A., Liong, S., & Selemidis, S. (2022). Influenza virus infection during pregnancy as a trigger of acute and chronic complications. Viruses, 14(12), 2729. https://doi.org/10.3390/v14122729 
  10. American Lung Association. Flu symptoms and risk factors. Retrieved April 7, 2025, from https://www.lung.org/lung-health-diseases/lung-disease-lookup/influenza/symptoms-causes-and-risk 
  11. Kim, T. H. (2014). Seasonal influenza and vaccine herd effect. Clinical and Experimental Vaccine Research, 3(2), 128–132. https://doi.org/10.7774/cevr.2014.3.2.128 

A Comprehensive Guide to Breast Cancer Screening: From Blood Tests to Mammograms 2026

Breast cancer remains a significant health concern for women throughout the globe. In Singapore, it stands as the most common type of cancer among women. The Singapore Cancer Registry [1] reported that breast cancer accounts for nearly one in three cancer diagnoses among women in the country. This translates to 29.7% [2] of all female cancers, with approximately 1,100 new cases diagnosed annually. However, what is even more concerning is the fact that roughly 270 women [3] succumb to the disease each year.

Due to its prevalence, early detection through regular screening plays a critical role in improving the survival rate. In fact, research shows that early diagnosis can increase the chances of successful treatment by as much as 90% [4].

The aim of breast cancer screening is to identify the cancer at its earliest stage, ideally before symptoms are noticeable. By detecting cancer early, women have more treatment options available and a greater likelihood of successful outcomes. This guide will provide a comprehensive overview of the breast cancer screening options available today, from blood tests to mammograms and how each method can contribute to early detection.

A breast cancer screening is essential in preventing and detecting breast cancer before it becomes symptomatic.

Understanding Breast Cancer Screening

Early detection of breast cancer significantly improves treatment outcomes, with a 5-year survival rate of nearly 99% for localised breast cancer.

Breast cancer screening refers to the preventive measures taken to detect breast cancer before any symptoms emerge. Unlike diagnostic tests that are performed when there are visible signs or symptoms of breast cancer, screening is done on seemingly healthy individuals, especially among those with a family history of breast cancer. The primary objective of screening is to identify cancer early, ideally when it is confined to the breast tissue, and has not spread to other parts of the body.

Regular breast cancer screening is essential for all women, particularly those over the age of 40 years old or those with a family history of breast cancer. However, women with other high-risk factors as listed below may need to begin screening early:

Women with an elevated risk of developing breast cancer are encouraged to schedule routine breast cancer screening to get ahead of the disease.

It is important to understand that consistent screening can significantly improve a woman’s chance of beating the cancer, as early detection may also include the following benefits:

Be that as it may, it is crucial to choose the appropriate screening method based on individual risk factors, age, and lifestyle. In fact, working closely with a licensed and qualified medical practitioner will be advantageous, as they can help tailor a screening plan that best suits each woman’s needs.

Breast Cancer Screening Methods

There are various screening methods available today, each with its own unique benefits and limitations. These include blood tests, imaging techniques like mammograms, ultrasounds, and magnetic resonance imaging (MRI) for those at high risk. While there are many options available, the choice of screening method often depends on the individual’s risk profile and medical history. The following briefly describes each method:

Each method plays a different role in breast cancer detection, and often, a combination of these tests may be necessary for comprehensive screening.

Blood Tests

A blood test is often a complementary test that is included in a comprehensive breast cancer screening package to help detect potential cancer markers.

Blood tests are often used to detect early signs of breast cancer. These tests work by identifying specific proteins or markers that cancer cells release into the bloodstream. To give an example, markers like CA 15-3 and CEA can sometimes indicate the presence of cancer, although these markers are not exclusively specific to breast cancer.

Even so, blood tests are valued for their non-invasive nature. They can be conducted quickly, with results available in a shorter time frame compared to imaging techniques. However, while blood tests can provide valuable information, they are not typically used as standalone diagnostic tools. Their sensitivity and specificity are limited, meaning that they are better suited as supplementary tests rather than primary screening tools.

That being said, blood tests are particularly useful for monitoring patients who have already been diagnosed with cancer to track the effectiveness of treatment or detect recurrences. Be that as it may, as a screening tool, blood tests should be paired with other methods like imaging for a more accurate diagnosis.

The Role of Mastocheck in Early Screening

Mastocheck offers a 77% accuracy rate in detecting Stage 1 and 2 breast cancer, compared to conventional single marker.

Unlike traditional blood tests that focus solely on inherited mutations, Mastocheck utilises advanced proteomic analysis to identify tumour-related proteins which are released by cancer cells and can serve as early indicators of tumour presence. This test is non-invasive, requiring only a blood sample, and can identify cancerous changes (disease-specific expression patterns) before they become visible through imaging. Hence, proteomics-based early diagnosis technology, like Mastocheck, greatly maximises diagnostic accuracy — with about 77% accuracy for stage 1-2 breast cancer.

However, it is essential to understand that while various blood tests can provide valuable insights into cancer risk, it is not a replacement for imaging techniques. Rather, it serves as a complementary tool, especially for those at higher risk of cancer (shows 10%-30% higher sensitivity compared to Mammography alone). Knowing your current cancer status through Mastocheck can help navigate the decision-making process regarding the frequency of follow-up screenings or the need for further diagnostic imaging. 

The benefits of Mastocheck

The benefits of Mastocheck screening include:

Mammograms

Mammograms are an essential screening procedure that is still widely used to prevent, and detect breast cancer.

Mammograms remain one of the most reliable screening tools for early breast cancer detection. This method involves using low-dose X-rays to examine breast tissue for any signs of tumours or abnormal growths [17]. For women aged 40 and above, regular mammograms are often recommended, as the risk of developing breast cancer increases with age.

A screening mammogram is typically done once every one to two years for women at average risk, while those at higher risk may need to undergo mammograms more frequently.

The benefits of mammograms are well-documented. In fact, they have been shown to reduce breast cancer mortality by enabling earlier diagnosis. However, some women may find the procedure uncomfortable due to the compression of breast tissue required for clear imaging. Additionally, mammograms do expose women to a small amount of radiation, but the risk is generally outweighed by the benefits of early detection. 

Ultrasound and MRI: Complementary Tools

A breast ultrasound is usually an additional screening procedure done to capture images of breast tissues, especially for breast that are more dense.

While mammograms are effective for most women, certain cases may require additional imaging techniques, like ultrasounds, and MRIs.

Ultrasound imaging is particularly useful for women with dense breast tissue, where mammograms may not be as effective [18]. Dense tissue can obscure tumours, making them harder to detect. Ultrasound also works using sound waves to create images of the breast tissues, allowing for better visualisation of abnormalities that may not appear on a mammogram.

Meanwhile, MRI is an advanced imaging technique, typically for high-risk individuals. MRIs use magnetic fields, and radio waves to create detailed images of the breast, making it possible to detect cancers that might be missed by mammograms, or ultrasounds. In fact, women with a strong family history of breast cancer, or those with known genetic mutations like BRCA1, or BRCA2 may benefit from regular MRIs in addition to mammograms.

Both ultrasounds and MRIs serve as complementary tools to mammograms, and are usually recommended when additional clarity is needed.

A comprehensive approach: Mammogram with Mastocheck

Integrating Mastocheck with mammography significantly increases diagnostic sensitivity to 93.9% and accuracy to 87.1%, proving especially effective for individuals with dense breast tissue.

The importance of early detection in breast cancer

Early detection of breast cancer greatly improves survival rates and treatment outcomes. In fact, there is a 5-year relative survival rate for localised (tumour is confined to breast tissue) breast cancer is approximately 99%. This makes early detection of breast cancer and timely treatment paramount. 

Why combine Mammogram and Mastocheck?

Combining a Mammogram with Mastocheck allows your doctor to detect structural changes in breast tissue and molecular changes in biomarkers that indicate early-stage breast cancer, offering a comprehensive significantly reducing the chances of false negatives. 

Undergoing a Mastocheck blood test can also reduce your need for unnecessary procedures and additional stress. This is because it provides additional confirmation when ambiguous findings are detected via the mammogram, helping differentiate between the benign and malignant abnormalities in the breast.

What to Expect During a Breast Cancer Screening

Breast cancer screening can feel overwhelming, especially when you are unsure what to expect. Our doctor provides careful guidance throughout the process to help you feel informed and reassured. Below is a step-by-step overview of the general breast cancer screening procedures offered at our clinic.

Initial Consultation and Pre-Screening Assessment

Breast cancer screening typically begins with an initial consultation with a doctor. During this appointment, your medical history will be reviewed, including any personal or family history of breast cancer. The doctor may also ask about your lifestyle, current symptoms and other risk factors that could influence your screening plan. This assessment helps determine the most appropriate screening approach based on your individual risk profile.

Blood Tests (if applicable)

If a blood test such as Mastocheck is included in the screening plan, the procedure is usually quick and straightforward. A small blood sample is drawn from a vein in the arm and sent to a laboratory for analysis to detect potential cancer markers. The process typically takes only a few minutes and involves minimal discomfort, similar to a routine blood test. Most individuals can resume their normal activities immediately afterwards, while results are usually available within a few days to a week.

Mammogram

If a mammogram is recommended as part of the screening process, you may be asked to change into a gown and remove any jewellery or clothing above the waist. During the procedure, the breast is positioned on a flat surface and gently compressed with a clear plastic plate to obtain clear images of the breast tissue. The compression may feel slightly uncomfortable, but it lasts only a few seconds.

Images are taken from different angles, usually two views per breast, and the entire procedure typically takes about 20 minutes. After the imaging is completed, the images are reviewed for any signs of abnormalities. Results are usually available within a few days. If any suspicious findings are detected, additional diagnostic tests or imaging may be recommended.

Ultrasound

An ultrasound may be recommended for women with dense breast tissue or when additional imaging is required. During the procedure, you will lie comfortably while a gel is applied to the breast area. A handheld device called a transducer is then moved over the skin to create images of the breast tissue using sound waves. The examination is painless and usually takes about 15 to 30 minutes.

Post-Screening Consultation

After the screening tests are completed, a follow-up consultation may be arranged to review and discuss the results. If any abnormalities are detected, the doctor will explain the findings and advise on the next steps. These may include further imaging tests, additional evaluations, or a biopsy to determine whether cancer is present.

Although the screening process is relatively simple, and quick, it may take a few days or up to a week to receive results.

How to Prepare for Breast Cancer Screening

Being well-prepared can help ensure a smooth and effective screening experience. To help you prepare for your breast screening, here is a detailed guideline to get you started.

Step 1: Scheduling Your Appointment

When scheduling an appointment for breast screening, do remember to pick a date at least a week after your menstrual period. This is due to the fact that your breasts are less likely to be tender during this time. Doing so can help minimise discomfort during the procedure. Additionally, for women undergoing blood tests or other non-imaging tests, there are no specific timing requirements.

Step 2: Dress Comfortably

On the day of your screening, wear a two-piece outfit so that you can easily remove your top piece of clothing for imaging procedures. Avoid wearing deodorant, antiperspirant, powders or lotions on your underarms or breasts, as these products can show up on mammogram images as white spots, potentially leading to false alarms.

Step 3: What to Bring

It is important to bring your identification, health insurance information, and any prior imaging results if you have been screened before. Having these past records allows our doctors and radiologists to compare images and detect any subtle changes in breast tissue over time.

Step 4: Pain Management

If you are concerned about discomfort during a mammogram, consider taking an over-the-counter pain reliever, such as ibuprofen or acetaminophen, about an hour before your appointment. This can help alleviate any pain associated with breast compression. However, always speak with your doctor before taking any medication to prevent any complications.

Step 5: Preparing for an MRI

If you are scheduled for an MRI, inform the technician if you have any metal implants, pacemakers, or allergies, particularly to contrast dyes. You may need to fast for a few hours before the test if a contrast dye is being used. Additionally, do remember to remove any metal objects, such as jewellery, belts or watches, before the scan, as this can disrupt the imaging process.

Step 6: Mental Preparation

For some women, the thought of undergoing a breast cancer screening can be anxiety-inducing, especially if it is their first time. But do remind yourself that these screenings are proactive steps toward maintaining your health, rather than dwelling on the possibility of malignancy. Some tips that can help ease your nerves before your appointment include deep breathing exercises, or listening to calming music. In fact, if asking questions can help reduce your anxiety, then do feel free to speak with our doctors to help you be more mentally prepared for the screening.

Step 7: Post-Screening Care

After your screening, there are generally no restrictions and you can resume your normal activities immediately. However, if you experience any soreness after a mammogram, applying a cold compress can help reduce discomfort. For blood tests, keep the bandage on for a few hours to avoid bruises.

By following these preparation steps and understanding what to expect, you can make your breast cancer screening experience as comfortable, and stress-free as possible.

Aside from scheduling routine breast cancer screening, it is encouraged to exercise regularly to maintain a healthy weight in preventing the risk of developing the disease.

Breast Cancer Screening Methods at a Glance

Feature MammogramUltrasoundMRIMastocheck
PurposeStandard screening for breast cancer.Complements mammograms and can be used to evaluate dense breast tissue.High-sensitivity breast cancer screening for high-risk patients. Blood test for early detection of specific biomarkers for breast cancer.
Recommended forWomen over the age of 40 years old or have risk factors for breast cancer.Women with dense breasts, palpable lumps or other possible breast cancer indicators. High-risk individuals.Early detection or supplemental screening.
TechnologyX-ray imaging, may sometimes include a contrast for Contrast Enhanced Mammogram (CEM).Utilises targeted ultrasound waves to visualise breast tissue structures.Utilises magnetic fields and contrast dye to visualise breast tissue structures.Blood sample analysed for cancer markers.
SensitivityHigh sensitivity, but may not be as effective for dense breast tissueHigh sensitivity, but may miss small or early cancers.Very high sensitivity, detects small, early-stage cancers.High sensitivity and provides risk indication for early cancers, but not the specific tumour location. Good early-warning tool.
Radiation exposureLow-dose radiation.None.None.None.

Take Charge of Your Breast Health Today

Breast cancer screening plays an important role in detecting cancer early, often before symptoms appear. Choosing the most suitable screening approach depends on several personal factors, including age, family history, genetic risk, and overall health. Understanding the available screening options allows you to make informed decisions and take proactive steps to safeguard your well-being.

For many women in their 40s, annual mammograms are commonly recommended. Women with higher risk factors or specific clinical indications may benefit from additional screening methods, such as Mastocheck testing or breast ultrasound. A consultation with an experienced doctor is important to determine the most appropriate screening strategy based on your individual risk profile. A personalised plan helps optimise early detection while providing reassurance that your breast health is being carefully monitored.

If you are considering breast cancer screening or would like guidance on the most suitable options for you, arrange a consultation (link to ‘Contact Us’ page) with our doctor. A professional assessment can help determine the right screening approach and support you in taking confident, proactive steps toward protecting your breast health.

References

[1] Breast Cancer. (n.d.). In www.singaporecancersociety.org.sg. Retrieved November 14, 2024, from https://www.singaporecancersociety.org.sg/learn-about-cancer/types-of-cancer/breast-cancer.html 

[2] [3] Jara-Lazaro, A. R., Thilagaratnam, S., & Tan, P. H. (2010). Breast cancer in Singapore: some perspectives. In Breast cancer (Tokyo, Japan) (Vol. 17, Issue 1, pp. 23–28). Breast cancer (Tokyo, Japan). https://doi.org/10.1007/s12282-009-0155-3

[4] By. (n.d.). The landscape of breast cancer screening and treatment in Singapore. In how well do we know it. Retrieved November 14, 2024, from https://www.singhealth.com.sg/news/medical-news-singhealth/landscape-breast-cancer-screening-treatment-singapore 

[5] CDC. (2024). Breast Cancer Risk Factors. In Breast Cancer. https://www.cdc.gov/breast-cancer/risk-factors/index.html

[6] Dense Breasts: Answers to Commonly Asked Questions - NCI. (2018). In www.cancer.gov. https://www.cancer.gov/types/breast/breast-changes/dense-breasts 

[7] Diethylstilbestrol (DES) Exposure and Cancer - NCI. (2021). In www.cancer.gov. https://www.cancer.gov/about-cancer/causes-prevention/risk/hormones/des-fact-sheet 

[8] Brewer, H. R., Jones, M. E., Schoemaker, M. J., Ashworth, A., & Swerdlow, A. J. (2017). Family history and risk of breast cancer: an analysis accounting for family structure. In Breast cancer research and treatment (Vol. 165, Issue 1, pp. 193–200). Breast cancer research and treatment. https://doi.org/10.1007/s10549-017-4325-2 

[9] Petrucelli N, Daly MB, Pal T. BRCA1- and BRCA2-Associated Hereditary Breast and Ovarian Cancer. 1998 Sep 4 [Updated 2023 Sep 21]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1247/ 

[10] Breast cancer and hormone replacement therapy: collaborative reanalysis of data from 51 epidemiological studies of 52,705 women with breast cancer and 108,411 women without breast cancer. Collaborative Group on Hormonal Factors in Breast Cancer. (1997). Lancet (London, England), 350(9084), 1047–1059. 

[11] Eaton L. (2002). Early periods and late childbearing increase risk of breast cancer, study confirms. BMJ : British Medical Journal, 324(7334), 386. 

[12] Zeinomar, N., Phillips, K. A., Daly, M. B., Milne, R. L., Dite, G. S., MacInnis, R. J., Liao, Y., Kehm, R. D., Knight, J. A., Southey, M. C., Chung, W. K., Giles, G. G., McLachlan, S. A., Friedlander, M. L., Weideman, P. C., Glendon, G., Nesci, S., kConFab Investigators, Andrulis, I. L., Buys, S. S., … Terry, M. B. (2019). Benign breast disease increases breast cancer risk independent of underlying familial risk profile: Findings from a Prospective Family Study Cohort. International journal of cancer, 145(2), 370–379. https://doi.org/10.1002/ijc.32112 

[13] Joshi, S. C., Khan, F. A., Pant, I., & Shukla, A. (2007). Role of radiotherapy in early breast cancer: an overview. International journal of health sciences, 1(2), 259–264.

[14] Liu, Y., Nguyen, N., & Colditz, G. A. (2015). Links between alcohol consumption and breast cancer: a look at the evidence. Women's health (London, England), 11(1), 65–77. https://doi.org/10.2217/whe.14.62

[15] Dehesh, T., Fadaghi, S., Seyedi, M., Abolhadi, E., Ilaghi, M., Shams, P., Ajam, F., Mosleh-Shirazi, M. A., & Dehesh, P. (2023). The relation between obesity and breast cancer risk in women by considering menstruation status and geographical variations: a systematic review and meta-analysis. BMC women's health, 23(1), 392. https://doi.org/10.1186/s12905-023-02543-5

[16] Kim, Y., Kim, H.-K., Lim, C., Kim, S., Ahn, K.-G., & Noh, D.-Y. (2022). The usefulness of a three-protein signature blood assay (Mastocheck®) for follow-up after breast cancer surgery. Journal of Cancer Research and Clinical Oncology, 149(9), 5733–5741. https://doi.org/10.1007/s00432-022-04550-9

[17]  CDC. (2025, February 6). Screening for breast cancer. Breast Cancer. https://www.cdc.gov/breast-cancer/screening/index.html 

[18] Madjar, H. (2010). Role of breast ultrasound for the detection and differentiation of breast lesions. Breast Care, 5(2), 109–114. https://doi.org/10.1159/000297775 

Who Needs the Boostrix Vaccine? What Adults Should Know About the Rise of Whooping Cough

A simple booster jab can help protect the people who matter most, especially the youngest and most vulnerable.

Vaccination is not just for children. As we go about our busy lives, travelling, working, caring for loved ones, it is easy to forget that some vaccine protections fade with time. One of the most overlooked is the adult booster against whooping cough (pertussis), a highly contagious respiratory infection that has been resurging globally [1], including in parts of Asia and Singapore.

For most adults, pertussis may just mean weeks of persistent coughing. But for infants, older adults, and those with weakened immunity, exposure can be dangerous. It can even be life-threatening. Many adults may not even realise they are infectious, unknowingly putting loved ones at risk.

At Phoenix Medical Group, we believe prevention should continue well into adulthood. In this blog, we will explain why the Boostrix (Tdap) booster is increasingly important, who should consider it, and how a single jab can help protect not just yourself, but those around you.

A Comeback Disease?

Persistent coughing in adults could be a sign of whooping cough, where a single cough can infect those at risk.


It might sound like something from the past, but whooping cough is making a worrying return worldwide. Recent outbreaks in Japan [2], Australia [3], and parts of Europe [4] have highlighted how contagious and disruptive this respiratory infection can be, even in adults.

Closer to home, Singapore has seen a steady rise [5] in whooping cough notifications over the past decade. While many assume childhood vaccinations offer lifelong protection, immunity from the DTaP series wanes over time, leaving adults and those around them at risk.

For most adults, the infection may appear as a stubborn cough. But for infants, especially those under six months who have not completed their primary vaccinations, whooping cough can lead to severe illness, hospitalisation, or even death. This is where Boostrix, the adult pertussis booster, plays a crucial role.

What Is Whooping Cough and Why Is It a Concern?

Whooping cough is highly contagious and dangerous for infants and older adults.

Whooping cough is a bacterial infection that spreads through respiratory droplets, coughing, sneezing, or close contact. It begins like a common cold, but within days, the cough becomes persistent, violent, and uncontrollable, often ending in a high-pitched “whoop” sound. However, this is less common in adults.

In adults, whooping coughs often go undiagnosed or misdiagnosed as a lingering cough or bronchitis. But even mild cases can be highly infectious for weeks, passing the bacteria on to newborns, the elderly, or those with weakened immune systems.

Infants under six months old are especially vulnerable, as they are not yet fully protected by vaccines. Nearly half of all babies who contract whooping cough require hospital care. That is why public health efforts increasingly focus on immunising adults who live or work with young children.

The Role of Boostrix (Tdap Booster Vaccine)

Boostrix vaccination helps protect Singaporean families from the spread of whooping cough, especially infants and the elderly.

Boostrix is a combination vaccine that protects against tetanus, diphtheria, and pertussis (Tdap). It is specifically designed for use in adolescents and adults, especially as a booster after childhood DTaP vaccinations.

While tetanus boosters are commonly given every 10 years, the pertussis component is often overlooked. Many adults in Singapore have not received a Tdap booster in over a decade or at all.

Boostrix is:

It is also the only adult Tdap booster available in Singapore approved for use from age 10 onwards.

Who Should Consider Getting Boostrix?

Healthcare workers are at the frontline, protecting others starts with protecting themselves against whooping cough.

Whooping cough is a highly contagious respiratory infection that can be especially dangerous [6] for infants and the elderly. While childhood vaccinations provide early protection, immunity tends to wane over time. That is where Boostrix comes in. It is designed for adolescents and adults who need renewed protection, not just for themselves, but for those around them.

Whether you are travelling, working in a high-risk environment, or caring for young children, Boostrix can help prevent the silent spread of pertussis in our communities.

Travellers to Countries With Outbreaks

If you are heading to Japan, Australia, or any region with a current pertussis outbreak, a booster is highly recommended. Crowded airports, public transport, and tourist attractions can quickly become hotspots for respiratory infections.

Even if you do not fall ill, you could bring a whooping cough home unknowingly, placing family members, especially infants or elderly relatives, at risk.

Healthcare and Childcare Workers

If your work brings you into regular contact with vulnerable populations, you are on the front line of potential transmission. This includes, but is not limited to, the following professions:

Many healthcare institutions globally now recommend, or require, regular Tdap boosters for staff. Protecting your patients, co-workers, and yourself starts with staying up to date on your vaccines.

Grandparents and Caregivers of Young Children

Adults are the primary source of whooping cough transmission to infants, often without realising it. This is why the “cocooning strategy” is widely encouraged. By vaccinating parents, grandparents, nannies, and close contacts, we help form a protective ring around babies too young to be fully immunised.

In Singapore, multigenerational households are common. As such, a simple booster jab could make all the difference in keeping your home a safer space.Grandparents and Caregivers of Young Children.

Pregnant Women Between 16 - 32 Weeks Pregnancy

Pregnant women between 16–32 weeks of pregnancy, regardless of prior Tdap vaccination. This protects the baby from whooping cough in their first months of life. Singaporean citizens are partially subsidised under the National Adult Immunisation Schedule (NAIS).

Pertussis Vaccination in Singapore: What You Need to Know

Whooping cough can cause severe coughing fits, especially in infants and the elderly. Vaccination remains the most effective way to protect yourself and your loved ones from this highly contagious disease.

You can receive the Boostrix vaccine at Phoenix Medical Group clinics island-wide. The process is straightforward and quick:

If you are unsure of your vaccination history, our doctors can help determine whether you are due for a booster.

Final Thoughts: A Simple Jab for Peace of Mind

Whooping cough is back, but so is prevention.

A quick, single-dose vaccine like Boostrix does not just protect you. It shields newborns, ageing parents, and those with weaker immune systems from a potentially life-threatening infection.

If it has been 10 years or more since your last tetanus jab, or if you have never received a pertussis booster as an adult, this vaccination is something to consider.

Take the first step today by booking your Boostrix vaccination with us. We offer same-day appointments, professional advice, and a care experience that is centred on your health, your comfort, and your peace of mind.

References

  1. (N.d.). researchgate.net. Retrieved July 15, 2025, from https://www.researchgate.net/publication/387457091_Pertussis_in_Southeast_Asia_country-level_burden_and_recommendations_from_the_Global_Pertussis_Initiative
  1. Japan’s whooping cough cases hit a new weekly high of over 3,300. (2025). In The Straits Times. https://www.straitstimes.com/asia/east-asia/japans-whooping-cough-cases-hit-new-weekly-high-at-over-3300
  1. Quinn, H., Johnston, N., & Williams, P. (2025). Australia’s whooping cough surge is not over. In and, it doesn’t just affect babies. https://theconversation.com/australias-whooping-cough-surge-is-not-over-and-it-doesnt-just-affect-babies-257808
  1. Khalil, A., Samara, A., Campbell, H., Ladhani, S. N., & Amirthalingam, G. (2024). Recent increase in infant pertussis cases in Europe and the critical importance of antenatal immunisations: We must do better…now. In International Journal of Infectious Diseases (Vol. 146, p. 107148). Elsevier BV. https://doi.org/10.1016/j.ijid.2024.107148
  1. (N.d.). channelnewsasia.com. Retrieved July 15, 2025, from https://www.channelnewsasia.com/singapore/whooping-cough-pertussis-cases-rise-holiday-travel-lack-updated-vaccination-4813401
  1. Lauria AM, Zabbo CP. Pertussis. [Updated 2022 Oct 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519008/

Why Doctors Recommend the Flu Jab Before Major Exams Like PSLE in Singapore

The flu vaccine gives children added protection by strengthening their immune defences against seasonal influenza.

The PSLE and other year-end exams are a significant milestone for students and families in Singapore. As preparation ramps up, so do the stakes, and every parent wants their child to perform at their best. During these high-pressure months, ensuring your child’s health is just as important as revision and practice papers.

In recent years, more doctors have been recommending the seasonal flu vaccine [1] for school-going children, especially in the lead-up to major exams. This isn’t just about preventing illness — it’s about giving students the best shot at staying healthy, focused, and exam-ready.

At Phoenix Medical Group, we believe prevention is key, and in this blog, we’ll explain why getting the flu jab before exams could be a wise move for your family.

The Impact of the Flu on Exam-Season Performance

Flu season in Singapore tends to peak between September and November [2], which happens to coincide with major school exams like the PSLE, O-Levels, and end-of-year assessments. This unfortunate timing means students are at higher risk of falling ill during one of the most crucial periods in their academic year.

Children spend extended hours in close-contact environments, classrooms, tuition centres, canteens, and enrichment classes, creating ideal conditions for viruses to spread. Add to that the exam-related stress, irregular sleep, and general fatigue that many students experience, and their immune systems may be more vulnerable than usual.

If a student catches the flu, the effects can be more disruptive than many parents realise. Common flu symptoms such as fever, chills, cough, sore throat, body aches, and extreme tiredness can severely affect a child’s ability to focus, retain information, or sit through lengthy papers. Even a mild case can leave them feeling drained and foggy-headed, which is hardly the ideal condition for performing well under exam pressure.

The Role of the Flu Vaccine

While the flu vaccine does not permanently prevent the flu, it does help in reducing the risk of infection, and minimising the symptoms.

The flu vaccine works by stimulating the immune system to produce antibodies against the most common influenza strains predicted for the year. It helps reduce the risk of infection and, in cases where the flu is contracted, often lessens the severity and duration of symptoms.

It’s important to note that the vaccine doesn’t offer instant protection [3]. It typically takes about two weeks for the body to build sufficient immunity. This is why timing matters. As such, having your child vaccinated well ahead of their exams ensures they’re protected during the most critical weeks.

Why Doctors Recommend It, Especially for Exam-Age Children

While getting the flu jab may feel like an additional task in an already packed exam schedule, doctors strongly recommend it for good reason. During high-stress academic periods like the PSLE, even small disruptions can have a big impact. Vaccinating your child against the flu is a simple yet powerful way to reduce risk and protect their hard-earned preparation.

Here’s why the flu vaccine is especially beneficial for students sitting major exams:

Ultimately, the flu jab is a small investment that can help ensure your child stays well, confident, and focused. Hence, giving them the best chance to succeed when it matters most.

Common Concerns Among Parents

The flu vaccine is an annual vaccination that protects children against the flu by encouraging the body to strengthen its immunity.

It’s completely natural for parents to have questions or hesitations about any vaccination, especially when it comes to their child’s well-being. As a matter of fact, we often hear a few recurring concerns about the flu jab, and we’re here to clarify them with facts and reassurance.

“Will the flu jab make my child sick?”

This is one of the most common misconceptions. The flu vaccine does not contain live virus [4] and cannot cause the flu. Some children may experience mild side effects, such as a sore arm, low-grade fever, or slight fatigue, usually lasting just a day or two. These are typical signs that the body is building immunity, and they are far milder than the actual flu itself.

“Is the flu jab really necessary every year?”

Yes, because influenza strains evolve each year, and the vaccine is updated accordingly. Getting the jab annually ensures that your child is protected against the most current and prevalent strains. Even if your child has received it in previous years, they’ll benefit from the updated protection and are likely to respond well to future vaccinations.

When and Where to Get the Flu Vaccine

To ensure full protection during exam season, we recommend getting the flu jab at least 2 to 3 weeks before exams begin.

At Phoenix Medical Group, our clinics across Singapore offer:

You can easily book your child’s flu vaccination through our online platform or by calling our nearest clinic to you.

Final Thoughts

Safeguard your child’s focus by getting the flu vaccine.

A healthy child is a confident child, especially during exam season. While we can’t control the questions on the exam paper, we can take steps to protect our children from avoidable setbacks like the flu.

Getting the flu jab before exams is a simple, proven way to help your child stay well, perform at their best, and approach the PSLE or other major tests with peace of mind. At Phoenix Medical Group, we’re here to support you every step of the way. 

Protect your child’s health.

Protect their focus.

Protect their future.

References

  1. All You Need to Know About Childhood Immunisations. (n.d.). In www.healthhub.sg. Retrieved June 12, 2025, from https://www.healthhub.sg/live-healthy/all-you-need-to-know-about-vaccinations 
  2. Seasonal influenza. (n.d.). In Communicable Diseases Agency. Retrieved June 12, 2025, from https://www.cda.gov.sg/professionals/diseases/seasonal-influenza 
  3. Vaccine efficacy, effectiveness and protection. (n.d.). In www.who.int. Retrieved June 12, 2025, from https://www.who.int/news-room/feature-stories/detail/vaccine-efficacy-effectiveness-and-protection
  4. Influenza vaccines – frequently asked questions (FAQs). (n.d.). In NCIRS. Retrieved June 12, 2025, from https://ncirs.org.au/influenza/influenza-vaccines-frequently-asked-questions-faqs 
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