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Cervical Cancer: Symptoms, Causes and Treatment You Must Know

Cervical cancer is one of the most common cancers in women, but the good news is that it can often be prevented and treated successfully if detected early. As a surgical oncologist, I, Dr. Nitin Singhal, have seen many women delay their check-ups simply because they were unaware of the symptoms or afraid of tests. This delay often makes the disease harder to treat.

In this blog, I will explain cervical cancer in very simple language – what it is, why it happens, what symptoms you should look for, and what treatment options are available. My aim is to make every woman and her family aware, so that no life is lost just because of lack of knowledge.

What is Cervical Cancer?

The cervix is the lower part of the uterus (womb) that connects to the vagina. Cervical cancer develops when abnormal cells in the cervix start growing uncontrollably. Over time, these cells can form a tumor and spread to other parts of the body if not treated.

Most cases of cervical cancer are caused by a virus called Human Papillomavirus (HPV), which spreads mainly through sexual contact. However, not every HPV infection turns into cancer. In most women, the infection goes away on its own, but in some, it causes changes in the cervix that may lead to cancer over the years.

Why Awareness is Important

  • Cervical cancer is the fourth most common cancer in women worldwide.
  • In India, thousands of women lose their lives every year to this disease.
  • The tragedy is that it is one of the most preventable cancers. With regular screening and vaccination, most cases can be avoided.

This means awareness is the first and most powerful step towards prevention.

Symptoms

Eight warning signs of cervical cancer revealed | Daily Mail Online

One of the reasons cervical cancer becomes dangerous is that in the early stages, it usually shows no symptoms. By the time symptoms appear, the disease may already be advanced.

Here are the main symptoms women should never ignore:

  1. Abnormal vaginal bleeding
    • Bleeding between periods
    • Bleeding after sexual intercourse
    • Bleeding after menopause
  2. Unusual vaginal discharge
    • Watery, foul-smelling or bloody discharge
  3. Pelvic pain or pain during sex
  4. Longer or heavier periods than normal
  5. Advanced stage symptoms may include:
    • Difficulty in urination
    • Swelling in legs
    • Weight loss
    • Fatigue

👉 Remember: these symptoms may be caused by many other conditions, but if you notice them, consult a gynecologist immediately. Early detection can save lives.

Causes and Risk Factors

The main cause is persistent infection with high-risk types of HPV. But there are certain risk factors that increase a woman’s chances:

  1. Multiple sexual partners – increases exposure to HPV.
  2. Unprotected sex – raises risk of HPV infection.
  3. Weakened immune system – due to HIV or other health conditions.
  4. Smoking – tobacco weakens the cervix cells and increases cancer risk.
  5. Early sexual activity – starting sex at a very young age raises HPV risk.
  6. Family history of cervical cancer.
  7. Poor genital hygiene and multiple pregnancies.

Understanding these risks helps in taking preventive steps.

How it is Diagnosed?

Early detection is possible with simple tests. Common screening methods include:

  1. Pap Smear Test
    • A small sample of cells is taken from the cervix and examined.
    • Helps detect abnormal changes before they become cancer.
  2. HPV DNA Test
    • Detects high-risk HPV strains.
    • Can be done along with or instead of Pap smear.
  3. Colposcopy
    • A special microscope is used to look at the cervix for abnormal areas.
  4. Biopsy
    • If suspicious cells are found, a biopsy confirms the diagnosis.

Screening is recommended for women from age 25 to 65, even if they have no symptoms.

Stages of Cervical Cancer

Like all cancers, cervical cancer is classified into stages depending on how far it has spread:

  • Stage 0 – Precancer (abnormal cells present but not invasive).
  • Stage I – Cancer is only in the cervix.
  • Stage II – Spread beyond cervix but not to pelvic wall.
  • Stage III – Spread to lower vagina or pelvic wall, may block ureters.
  • Stage IV – Spread to bladder, rectum, or distant organs like lungs.

Treatment depends largely on the stage.

Treatment Options for Cervical Cancer

The good news is that cervical cancer is highly treatable in early stages. Treatment depends on the stage, the woman’s age, and whether she wishes to have children in the future.

  1. Surgery
    • Conization: removal of a cone-shaped part of the cervix (early stage).
    • Hysterectomy: removal of cervix and uterus (common in advanced early stages).
    • Radical hysterectomy: removal of cervix, uterus, and surrounding tissues.
  2. Radiation Therapy
    • High-energy X-rays to kill cancer cells.
    • Often combined with chemotherapy.
  3. Chemotherapy
    • Anti-cancer medicines given by injection or orally.
    • Used in advanced stages or along with radiation.
  4. Targeted Therapy & Immunotherapy
    • Newer treatments that attack cancer cells more precisely.
    • Immunotherapy helps the body’s immune system fight cancer.

Prevention of Cervical Cancer

Unlike many other cancers, cervical cancer is largely preventable. Steps to lower risk include:

  1. HPV Vaccination
    • Safe and effective vaccine against HPV.
    • Best given to girls aged 9–14, but women up to 45 can also take it.
    • Reduces the risk of cervical cancer significantly.
  2. Regular Screening (Pap smear/HPV test)
    • Detects abnormal changes early.
    • Should be done every 3–5 years depending on age.
  3. Safe Sexual Practices
    • Use protection.
    • Avoid multiple partners.
  4. Quit Smoking
    • Smoking increases cervical cancer risk.
  5. Healthy Lifestyle
    • Eat nutritious food, exercise regularly, and maintain hygiene.

Life After Cervical Cancer Treatment

Many women worry about life after treatment. Here are some things to know:

  • Emotional support is important: Talking to family, friends, or support groups helps recovery.
  • Fertility issues: Some treatments may affect the ability to conceive. Fertility-preserving surgeries may be an option in early cases.
  • Follow-up care: Regular check-ups are needed to ensure the cancer does not return.
  • Healthy lifestyle: Helps boost immunity and recovery.

My Message as an Onco-Surgeon

I often see fear in women’s eyes when they hear the word “cancer.” But let me tell you this: cervical cancer is not a death sentence. If detected early, it can be completely cured. Even in advanced stages, treatments can control it and improve life quality.

So please, never ignore symptoms and go for regular screening. And if you are eligible, get vaccinated. Awareness, early detection, and timely treatment can save lives.

🔹 FAQs

1. What is cervical cancer and how does it start?

Cervical cancer is a type of cancer that begins in the cells of the cervix, the lower part of the uterus that connects to the vagina. According to Dr. Nitin Singhal, surgical oncologist, most cases are caused by long-term infection with the human papillomavirus (HPV). The virus changes normal cervical cells into abnormal ones, which can later turn into cancer if not detected early.

2. What are the first warning signs of cervical cancer?

The early stages of cervical cancer usually have no clear symptoms, which is why regular screening is important. Dr. Nitin Singhal explains that the most common signs women should watch for include: abnormal vaginal bleeding, bleeding after sex, foul-smelling discharge, and pelvic pain. Ignoring these symptoms can delay treatment.

3. Can cervical cancer be cured completely?

Yes, cervical cancer can be cured if diagnosed early. Dr. Nitin Singhal emphasizes that women who undergo regular Pap smear tests and HPV screenings have a much higher chance of detecting the disease early, when treatment is most effective. In early stages, surgery or radiation therapy often leads to complete cure.

4. How is cervical cancer detected?

Detection is simple and painless through screening tests. Dr. Nitin Singhal recommends:

  • Pap Smear Test – detects abnormal cervical cells.
  • HPV DNA Test – identifies high-risk HPV infection.
  • Colposcopy & Biopsy – used if abnormal results are found.

5. Who is at higher risk of cervical cancer?

Women who have multiple sexual partners, unprotected sex, early pregnancies, weak immunity, or smoke are at higher risk. Dr. Nitin Singhal adds that a family history of cervical cancer can also increase chances. Regular check-ups are strongly advised for women in the age group of 25–65 years.

Conclusion

Cervical cancer remains one of the most common cancers in women, but it is also one of the most preventable. By being aware of the symptoms, causes, and treatment options, women can take proactive steps to protect their health. With HPV vaccination, regular Pap smear tests, and timely medical care, the risk of cervical cancer can be reduced significantly.

As Dr. Nitin Singhal, surgical oncologist, I strongly encourage women not to ignore warning signs and to undergo regular screenings. Remember, when detected early, cervical cancer is highly treatable. If you or your loved one have any concerns, consult a qualified cancer specialist without delay. Early diagnosis and treatment can truly save lives.

Dr. Nitin Singhal

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Dr Nitin Singhal | Surgical Oncology Logo – professional branding for leading cancer surgeon in Ahmedabad.
Dr. Nitin Singhal, a distinguished oncologist, has trained at the prestigious Tata Memorial Hospital in Mumbai, one of the world's most renowned cancer training institutions.
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