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MORE ABOUT CANCER

Cervical cancer


More than 700 women will suffer, and over 200 women die each year from cervical cancer (cancer of the uterine cervix) in our country. More than half of these cases could be prevented if the women had undergone prophylactic examination (screening tests).

Why should there be prophylactic examination for cervical cancer?
Screening tests are able to detect abnormal cells before they become cancer cells. Discovered at an early stage, they are usually treatable. A large number of women who get cancer of the uterine cervix, have never been screened. Despite the increasing frequency of cervical cancer by young women, most cases are detected in women over the age of 45.

Who should be screened?
All women who are or have been sexually active should be checked at least once every three to five years. Older women feel that they do not need any preventive check up. Cancer of the uterine cervix, however, can develop slowly over ten years, which means the examination should be conducted in women up to 65 years of age.

Where to go for preventive gynecological examination?
The Pap smears are performed by gynecologists and woman’s doctors in polyclinics, obstetrician-gynecological offices, district hospitals, and specialized clinics.

What is involved in a prophylactic gynecological examination?
Upon examination of the patient, the doctor takes cells from the uterine cervix using a cotton pad, spatula, or special brush. The cells are put onto a slide and sent for analysis in a specialized laboratory.

How to know the outcome of the study?
Ask your doctor when you will get results of the study. Make sure you make yourself aware of the result. Do not rely on the saying "No news is good news”. Do check when your next Pap smear should be taken.

What should I do if the result of the Pap smear test is positive?
Most Pap smears have no abnormalities. Only about one in ten smears reveals any abnormalities that do not need special treatment. A small percentage, however, may reveal some danger. In these cases, the patient should be directed to get a colposcopy examination. With the help of an optical apparatus, the uterine cervix is examined, and the doctor looks for affected spots. There are different types of treatment, but most of them are applied in polyclinic conditions. Remember that it is much easier to conduct treatment at an early stage, before the development of cancer.

How does cancer of the uterine cervix develop?
It is not entirely clear how women get cervical cancer, but the opinion of specialists is that there is a connection with the human papillomavirus (HPV) since it is sexually transmitted. The risk of women getting this form of cancer increases not only with the number of her sexual partners, but also with the number of female partners that her partner has had. The development of cervical cancer, however, does not mean that the woman has had too many sexual contacts. It is enough when only one partner was infected with HPV and passes it to her, causing the development of cancer of the uterine cervix.
Smoking increases the risk of developing cervical cancer by several times. In such cases, the patients are usually heavy smokers. Continued usage of birth control pills slightly increases the risk of getting the disease, while condoms play a preventive role.

What should you do yourself?
Consult your gynecologist the next time you go for the Pap smear.
This is just one small step, but it may be the most important for your health.