Back to the information about HPV
Cervical cancer
Description
Cervical cancer is the fourth most common cancer in women worldwide and is almost always caused by certain HPV viruses (high-risk pathogens). It can take years or decades for an infection to develop into a tumour. Pre-cancerous stages can be detected by a Pap smear. However, in 2022 there have still been 4,051 deaths from cervical cancer in the US.
Causes & risk factors
More than 99% of tissue samples from cervical tumours contain the genetic material of HPV. Other risk factors are smoking and a weakened immune defense (e.g., due to HIV or medication).
Frequency
In the US, cervical cancer is the 19th most common cancer in women. Around 13,000 women are diagnosed every year1. Women between the ages of 35 and 44 are particularly affected.
Symptoms
Often, there are no symptoms to begin with. Possible early signs are non-specific symptoms such as tiredness, weight loss, abdominal pain or irregular bleeding. Important warning signs are unusual bleeding (e.g., after menopause or after sex), painful discharge or pain in the lower abdomen. If you experience such symptoms, you should definitely consult a doctor.
Diagnosis
Cancer often does not cause any symptoms for a long time. However, if symptoms occur, such as unusual bleeding or painful discharge, it is important to consult a doctor quickly. A Pap smear and a colposcopy with tissue sampling are diagnostic procedures.
Course of the disease
The course of cervical cancer varies, but often begins with non-specific symptoms. Early detection and treatment can improve the prognosis.
Treatment
In early stages, the tumour is usually removed surgically. Radiotherapy and chemotherapy are used for cancer in advanced stages.
Consequences
If left untreated, cervical cancer can lead to serious health problems and death. Depending on the type and extent of treatment, fertility may be limited or impossible.
Fertility
After surgery, radiotherapy to the pelvic area or chemotherapy, the chances of pregnancy may be impaired. If you wish to have children, possible measures should be discussed prior to treatment.
Prevention
The most important measure to prevent cervical cancer is the HPV vaccination, which should be administered before the first sexual intercourse. The CDC recommends the vaccination for girls and boys aged 11-12 years, whereby vaccination can be started at age 9 years. Missed vacations can be caught up on by the age of 26. Vaccination can also help to reduce the risk of re-infection or recurrence of precancerous lesions after an infection has been contracted.
