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A common question I am asked is what are the warning signs and symptoms of cervical cancer?
And when thinking of cervical cancer, it's important to categorize that as precancer
or precursor of a cancer called cervical dysplasia and cervical cancer. Cervical cancer in and
of itself really the most common warning sign or symptom from that really is abnormal bleeding.
Most importantly or what you'll read in a textbook is something called postcoital bleeding
which is unforeseen or abnormal vaginal bleeding after *** intercourse and that usually
happens because the cervical cancerous cells are irritated during intercourse and they
are friable and bleed easily when they are touched. So if a woman complains of abnormal
bleeding after intercourse, they certainly should seek attention by their physician.
Other warning signs that we see with cervical cancer are more indolent and insidious and
what I mean by that is they really don't have any symptoms related to the GYN organs. At
lot of times when we see patients come in with advanced cervical cancer, which is when
we really don't want to catch patients, we have symptoms that really have to do with
the kidneys not working or otherwise known as kidney failure that happens sometimes when
the cervical cancer becomes so large that it will block the flow of urine from the kidney
to the bladder and result in kidney failure and those patients come in with all kinds
of symptoms of fatigue, nausea, etc., that really are symptoms related to the kidney
failure not necessarily to the ***. So our goal really is to catch women and find
cervical cancer in its early stages. In the early stage symptoms usually have to do with
this entity of postcoital bleeding. Alarmingly, though a lot of patients when they develop
early cervical cancer like stage 1 and stage 2 have no symptoms not even the abnormal bleeding
and so what we really try to do is catch cervical cancer before it exist and that is where we
go from a screening standpoint in hopes of preventing cervical cancer and the most effective
means of preventing cervical cancer is the Pap smear, and that requires regular visits
to the gynecologist or your family practitioner, etc. That's the most effective means of preventing
cervical cancer. Without Pap smears, we have no idea where our patent is in the continuum
of cervical dysplasia and that's why in certain developing countries where Pap smear surveillance
is not a regular part of a woman's life, cervical cancers still the leading cause of cancer
related deaths in some women. In countries such as the United States, where cervical
cancer screening with Pap smears is a regular event, we have done an enormous job at preventing
cervical cancers. So that is the far the best most effective screening mechanisms, regular
exams, and Pap smears.