#CERVICAL #CANCER: #SCREENING is the START of a CURE
What is
CANCER of the CERVIX?
The Cervix
The cervix is
the lower part of
the uterus (womb). The uterus has
2 parts.
The
upper part, called the
body of the uterus,
is where a baby grows. The
cervix, in the lower part,
connects the body of the uterus
to the vagina, or birth
canal.
Cancer of the cervix (also
called cervical cancer) begins in the cells lining the cervix. These cells
do not suddenly change into
cancer. Instead,
the normal cells
of the cervix first slowly change into pre-cancer cells
that can then turn
into cancer. These changes
may
be called dysplasia.
The change can take many
years, but sometimes it happens
faster. They can be found by the Pap
test and treated to prevent cancer
Risk Factors
A
risk factor is anything that affects a person's chance of getting a disease.
Some risk factors, such as smoking, can be controlled. Others, like a person's
age or race, can't be changed.
Human
papillomavirus (HPV) infection is the
most common risk factor. HPV is passed from person to person by sexual contact.
You are at risk if you have:
· sexual
contact, especially at a young age (before 17)
· a
high number of sexual partners; or partners who had sex with many others
Smoking:
Women who smoke are about twice as likely to get cervical cancer as those who
don't. Smoking puts many chemicals that cause cancer into the lungs.
Weakened immune
system: HIV (human
immunodeficiency virus) is the virus that causes AIDS -- it is not the same
as HPV. Women infected with HIV are more likely to get cancer of the cervix.
Birth control pills:
Long-term use of birth control pills increases the risk of cervical cancer.
Research suggests that the risk goes up the longer a woman takes "the
pill," but the risk goes back down again after she stops.
Chlamydia infection: This is a
common kind of bacteria that can infect women's sex organs. It is spread during
sex. A woman may not know that she is infected unless she is tested for
chlamydia when she gets her pelvic exam.
Diet: Women with
diets low in fruits and vegetables may be at increased risk for cervical
cancer.
Overweight women are more
likely to develop adenocarcinoma of the cervix.
Intrauterine devices: A recent study
found that women who had ever used an intrauterine device (IUD) had a lower
risk of cervical cancer; even in women who had an IUD for less than a year, and
the protective effect remained after the IUDs were removed.
Young age at the
time of first full-term pregnancy: Women who were
younger than 17 years when they had their first full-term pregnancy are almost
2 times more likely to get cervical cancer later in life than women who waited
to get pregnant until they were 25 years or older.
Many pregnancies:
Women who have had 3 or more full-term pregnancies have an increased risk of
this cancer.
Low income:
Poor women are at greater risk for cancer of the cervix. This may be because
they cannot afford good health care, such as regular Pap tests.
Family history:
Cervical cancer may run in some families. If your mother or sister had cervical
cancer, your chances of getting the disease are 2 to 3 times higher than if no
one in the family had it.
DES
(diethylstilboestrol): DES is a
hormone drug that was used between 1940 and 1971 for some women who were in
danger of miscarriages. The daughters of women who took this drug while
Early
cervical pre-cancers or cancers often have no signs or symptoms. That's why
it's important for women to have regular screening with a Pap test (which may
be combined with a test for HPV). Symptoms often do not start until the cancer
is further along and has spread to nearby areas. You should
report any of the following to your doctor right away:
· Abnormal vaginal
bleeding, such as bleeding after sex, bleeding after menopause, bleeding
and spotting between periods, or having periods that are longer or heavier than
usual. Bleeding after douching or after a pelvic exam may also occur.
· An unusual
discharge from the vagina (not your normal period)
· Pain during sex
Of
course, these symptoms do not mean that you have cancer. They can also be
caused by something else. But you must check with a doctor to find out.
Screening (PAP SMEARS)
You should begin having Pap tests after becoming sexual active (vaginal intercourse). All women should have a Pap test by age 21. There are 2 kinds of Pap tests – one is done yearly; one is done every two years.
· At age 30, if you have 3 normal Pap tests
in a row, your doctor may suggest that you be screened
every 2 to 3 years. You may need a Pap test more often due to your health
history (if you had abnormal Pap tests, STD’s, genital warts or a weak immune
system).
· A
woman over age 70 may choose to stop having cervical cancer screening after at
least 3 normal Pap tests in a row and no abnormal tests in 10 years.
· Screening
after a total hysterectomy if cervix is removed is usually not needed except if
the surgery was done due to cancer or pre-cancer.
· Talk
to your doctor before you stop getting Pap tests.
· There are vaccines to help
prevent cervical cancer. These vaccines
produce immunity to certain types
of HPV
so that women who are exposed
to these viruses will not get infections. These are administered from the age of 9 years.
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