In this video, we have Dr. Saritha Shamsunder have a Senior specialist & Associate professor, Vardhaman Mahaveer medical college & Safdarjung hospital, New Delhi. President Indian society of colposcopy and cervical pathology(2018-2020 )
What are the most common gynecological cancers in India?
In the matter of no.s breast cancer is in the no. 1in league. The Mortality rate of women in India is common is again breast cancer with 87090 women dying and 60078 women die of cervical cancer.
What causes cervical cancer?
In more than 30 years of research, it has been found that the most important factor is Human papilloma virus. And why this virus causes cancer is because of the risk of persistent infection with more childbirths, multiple sexual partners, early age at first intercourse, early age at first childbirth, low socioeconomic status, STD’s, smoking, OCP’s (if used continuously without a gap of more than 5 years).
Is cervical cancer preventable? what actions women take to reduce their risk of cervical cancer?
- Keep your cervix healthy
- Safe sex
- Effective management of pre-cancerous lesions
Who should go for HPV vaccination? Why should they vaccinate?
- Dosage below 15 years -2 doses at 6-15 months interval. Above 15 years -3 doses at 6-15 months of interval.
- For other age groups: less than 9 years, data is lacking. Between 15-25 years the vaccine shows 100% efficiency and between 26-45 years it is about 88% effective.
Which screening tests are available for cervical cancer? How reliable are the results?
- Cervical screening methods
- Pap smear (woman age between 25-65 years, for 3 years)
- VIA ( visual inspections with acetic acid): woman between 30-50 years (premenopausal), for 5 years
- HPV test: to be done 5 yearly in women between ages 30-65 years
- Pap+ HPV: co-test done 5 yearly in women between 30-65 years
- Cells are taken from the mouth of the Uterus (cervix)
- Spread on a slide
- Seen under the microscope
- 57.4% sensitivity & 98.6% specificity
Visual inspection with Acetic Acid (VIA)Test
- Cervix visualized with a cuscoe’s speculum
- Dilute Acetic acid (Vinegar) applied on the cervix.
- cervix examined carefully after 1 min in good light
- Highly Sensitive.
- Cells are taken from the ix
- Transported in the medium
- Tested for the virus
- Highly sensitive
Why should one go for a cervical cancer screening test?
- Cervical cancer one of the few cancers preventable
- Changes can be spotted and treated 10-15 years before the development of cancer.
- Developed countries with screening programs- who did not go for cervical cancer.
There are other important questions that are dealt with this video such as early symptoms of cervical cancer. How is cervical cancer treated? Does cervical cancer affect pregnancy?
To learn more watch the full video.
Read Blog on: Know more about Cervical cancer during pregnancy.