A common question I am asked is what are thewarning signs and symptoms of cervical canceré And when thinking of cervical cancer, it'simportant to egorize that as precancer or precursor of a cancer called cervical dysplasiaand cervical cancer. Cervical cancerand of itself really the most common warning signor symptom from that really is abnormal bleeding. Most importantly or what you'll readatextbook is something called postcoital bleeding which is unforeseen or abnormal vaginal bleedingafter sexual intercourse and that usually happens because the cervical cancerous cellsare irritated during intercourse and they are friable and bleed easily when they aretouched. So if a woman complains of abnormal
bleeding after intercourse, they certainlyshould seek attention by their physician. Other warning signs that we see with cervicalcancer are more indolent and insidious and what I mean by that is they really don't haveany symptoms related to the GYN organs. At lot of times when we see patients come inwith advanced cervical cancer, which is when we really don't want to ch patients, wehave symptoms that really have to do with the kidneys not working or otherwise knownas kidney failure that happens sometimes when the cervical cancer becomes so large thatit will block the flow of urine from the kidney to the bladder and resultkidney failureand those patients comewith all kinds
of symptoms of fatigue, nausea, etc., thatreally are symptoms related to the kidney failure not necessarily to the cervix. Soour goal really is to ch women and find cervical cancerits early stages. In theearly 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 stage2 have no symptoms not even the abnormal bleeding and so what we really try to do is ch cervicalcancer before it exist and that is where we go from a screening standpointhopes ofpreventing cervical cancer and the most effective means of preventing cervical cancer is thePap 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 haveno idea where our patent isthe continuum of cervical dysplasia and that's whycertaindeveloping countries where Pap smear surveillance is not a regular part of a woman's life, cervicalcancers still the leading cause of cancer related deathssome women. In countriessuch as the United States, where cervical cancer screening with Pap smears is a regularevent, we have done an enormous job at preventing cervical cancers. So that is the far the bestmost effective screening mechanisms, regular exams, and Pap smears.