M.D. Insights
Breaking Down Cervical Cancer: Symptoms, Risks and Prevention
Michelle Benoit, MD
Gynecologic Oncology
Breaking Down Cervical Cancer: Symptoms, Risks and Prevention
Cervical cancer is a topic that often stirs worry, but the good news is we’ve made incredible strides in its detection and prevention. Once a leading cause of cancer-related deaths among women in the U.S., cervical cancer has seen a significant drop in cases over the past four decades. This decline is largely due to regular screenings like Pap tests, which may detect early, treatable changes in cervical cells. So, what do you really need to know about cervical cancer and how can you protect yourself?
What Is Cervical Cancer?
Cervical cancer originates in the cervix—the lower part of the uterus that connects to the vagina. Cervical cancer develops when cells in this area begin to grow abnormally.
Women over 30 are at an increased risk for cervical cancer. However, the primary cause of this condition is human papillomavirus (HPV), a common sexually transmitted infection. While HPV often clears up on its own, certain strains may lead to cervical cancer over time if left untreated.
Key Risk Factors for Cervical Cancer
Several factors may increase your risk of developing cervical cancer, including:
- HPV infection: Persistent infection with high-risk HPV strains can cause cervical cancer.
- Smoking: This weakens the immune system, making it harder to fight HPV infections.
- HIV and immunosuppression: Conditions that weaken the immune system may increase risk.
- Multiple sexual partners or early sexual activity: These factors increase HPV exposure.
- Long-term use of birth control pills: Using them for five or more years may slightly increase risk.
Recognizing the Symptoms
Early stages of cervical cancer often show no symptoms, which is why regular screenings are essential. As the disease progresses, symptoms may include:
- Unusual vaginal bleeding (after intercourse, between periods or post-menopause)
- Pain during intercourse
- Unusual vaginal discharge
Stages of Cervical Cancer
Understanding the stages of cervical cancer may provide insight into treatment options:
- Stage 1: Cancer cells are found only in the cervix.
- Stage 2: Cancer has spread to the upper part of the vagina or surrounding tissues.
- Stage 3: Cancer reaches the lower part of the vagina or the pelvis wall, potentially affecting kidney function.
- Stage 4: The cancer has spread to distant organs, such as the liver or lungs.
Screening and Prevention: What You Can Do
A proactive approach to cervical cancer involves prevention through regular screening and , both of which can offer important protection. The Pap test helps identify abnormal cells on the cervix that could potentially develop into cancer if untreated, while the HPV test detects high-risk types of the virus linked to cervical cancer. For women aged 21 and older, these screenings play a key role in early detection, which may help reduce risk over time.
The HPV vaccine is a preventative measure that helps protect against the HPV strains commonly linked to cervical cancer. It’s recommended for preteens (ages 11–12), but vaccination can start as early as age 9. It’s also available up to age 26, though the vaccine is most effective before any HPV exposure. Even if vaccinated, regular screenings remain essential.
Frequently Asked Questions
Who should get the HPV vaccine?
The vaccine is recommended for preteens (ages 11–12) but can be given starting at age 9. Adults up to 26 years may also receive it, but it's best before HPV exposure.
How often should I get a Pap test?
For women aged 21–29, it’s generally recommended every three years if previous tests are normal. Women 30 and older may choose to combine Pap and HPV tests, potentially extending screening intervals to five years.
Can cervical cancer be treated successfully?
Yes. of options, including surgery, radiation and chemotherapy. A gynecologic oncologist can help design a treatment plan that best suits your needs.
Does having HPV mean I will get cervical cancer?
No. HPV is very common and most people’s immune systems will clear it on their own. Only persistent infections with high-risk HPV strains increase the risk of cervical cancer.
What steps can I take to lower my risk?
Screen regularly, get the HPV vaccine, practice safe sex, avoid smoking and limit the number of sexual partners to reduce exposure to HPV.
Final Thoughts
Cervical cancer is a serious, but preventable disease. Regular screenings, the HPV vaccine and awareness of risk factors may help protect you. If you have any questions or concerns, don’t hesitate to talk with your healthcare provider. Early detection truly saves lives.