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Cervical Cancer Screening

Cervical cancer screening is a crucial preventive measure for detecting precancerous and cancerous cells in the cervix. A Pap smear, also known as a Pap test, is a common procedure used in this screening process. Early detection through a Pap smear can significantly increase the chances of successful treatment and recovery from cervical cancer.

Symptoms of Cervical Cancer

Early-stage cervical cancer generally does not present obvious symptoms, which is why regular screening is essential. However, as the disease progresses, symptoms may include:

  • Abnormal Vaginal Bleeding: Bleeding between periods, after intercourse, or after menopause.
  • Unusual Vaginal Discharge: Watery, bloody, or foul-smelling discharge.
  • Pelvic Pain: Discomfort or pain in the pelvic region.
  • Pain During Intercourse: Pain or discomfort during sexual activity.
  • Menstrual Changes: Heavier or longer menstrual periods than usual.

Causes and Risk Factors

Cervical cancer is primarily caused by the human papillomavirus (HPV), a sexually transmitted infection. Other risk factors include:

  • Multiple Sexual Partners: Increases the risk of HPV infection.
  • Early Sexual Activity: Having sex at an early age.
  • Other Sexually Transmitted Infections (STIs): Such as chlamydia, gonorrhea, syphilis, and HIV/AIDS.
  • Weak Immune System: Conditions like HIV/AIDS and immunosuppressive drugs can increase the risk.
  • Smoking: Linked to squamous cell cervical cancer.
  • Long-term Use of Oral Contraceptives: Using birth control pills for a long time may increase the risk.

Follow-Up Procedures and Treatments

Depending on the results of the Pap smear, additional procedures and treatments may be necessary:

  • Colposcopy: If abnormal cells are detected, a colposcopy may be performed. This involves using a colposcope to closely examine the cervix.
  • Biopsy: During a colposcopy, a biopsy may be taken to provide a more detailed analysis.
  • Loop Electrosurgical Excision Procedure (LEEP): Removes abnormal tissue using a thin wire loop that carries an electrical current.
  • Cryotherapy: Freezes abnormal cells using a special cold probe.
  • Laser Therapy: Uses a focused beam of light to remove or destroy abnormal cells.
  • Cone Biopsy: Removes a cone-shaped piece of tissue from the cervix for examination.