The stirrups… the speculum… the jelly that your gyno never seems to
get totally cleaned up. Yeah, Paps are a (somewhat literal) pain, but
cervical cancer was once the number-one leading cause of cancer death in
American, according to the Centers for Disease Control and Prevention.
Now, thanks to Paps, which can ID issues before they become cancerous,
it doesn’t even crack the top 10.
Still, the American
Cancer Society estimates that 13,240 new cases of invasive cervical
cancer will be diagnosed in 2018—31 percent of which will be fatal. And
the CDCreports that six out of every 10 cervical cancers occur in women
who have never received a Pap test or have not been tested in the past
five years. (FYI, all women between the ages of 21 and 65 years old
should be getting a Pap smear every three years from 21 to 30, and every
five years from 30 to 65, according to the CDC.)
“In
fact, one of the biggest risk factors of getting cervical cancer is not
having had a Pap smear within the past five years,” says Eloise
Chapman-Davis, M.D., a gynecological oncologist at Weill Cornell
Medicine and New York-Presbyterian.
However, she notes
that you shouldn’t just rely on a Pap to flag any issues. It’s also
important to watch out for cervical cancer symptoms, which can develop
in cases of more developed cancer growths. Translation: If you spot any
symptoms of cervical cancer, it’s worth talking to your gyno and getting
checked out asap.
1. Totally Not-Normal Vaginal Bleeding
“One
of the most common symptoms of cervical cancer is vaginal bleeding,
whether it’s in between your periods, after sex, or after menopause,”
says Taraneh Shirazian, M.D., a gynecologist at NYU Langone Health.
Abnormal vaginal bleeding is generally a symptom of advanced cervical
cancer, because it means that a tumor on the cervix is spreading to
affect nearby tissue, Chapman-Davis adds. Call your gyno asap.
2. Periods That Are Heavy AF
This
isn’t about your period lasting a day longer or suddenly seeming a bit
darker. “Rather, it’s your period all of sudden lasting two weeks
instead of four days, or having two periods in one month,” says
Shirazian. But to play it safe, it you have any changes in your cycle
that last for at least two cycles (heavier, lighter, whatever!), it’s
worth talking to your gynecologist, she says.
3. WTF-Worthy Vaginal Discharge
Discharge
is totally normal, but the type of discharge you experience could be an
indicator of a number of different vaginal health issues. “With
cervical cancer, you might notice a discharge that’s foul-smelling and
pink, brown, or bloody, potentially with chunks of tissue, or what we
call necrotic material,” says Shirazian. And because “masses and tumors
secrete fluid, that could contribute to a continuous, watery discharge
that seems to occur for no reason,” says Chapman-Davis. Go ahead and
give your gyno a call.
4. Pelvic, Back, or Leg Pain
Pelvic
pain could be an indicator of changes to the cervix, but advanced
cervical cancer can even spread to the bladder, intestines, or even the
lungs and liver, says Chapman-Davis. “Then you might have things like
back pain or leg pain,” she says. “But that’s typically associated with
very advanced cases because the cervix isn’t really affecting a lot of
nerves.” Talk to your primary care doc to rule out cervical cancer as
well as other potential nerve causes.
5. Major Fatigue
Because
most cervical cancer symptoms don’t come along until it enters more
advanced stages, it does share some symptoms with all cancers. “Fatigue
is definitely one of those symptoms,” says Shirazian. One reason why:
Abnormal vaginal bleeding, one of the major symptoms of cervical cancer,
can actually lower the amount of red blood cells and oxygen in the
body, causing you to feel utterly exhausted all the time, usually with
no other explanation. If you are dealing with chronic fatigue, your
doctor will likely check your iron and red blood cell levels. check out
these five signs
6. Feeling Like You’re Going To Barf—All The Time
A
persistent feeling of nausea or indigestion can be a sign of cancer,
and that includes cervical cancer, says Shirazian. That’s because, when
advanced, cervical cancer can cause the cervix to swell into the
abdominal cavity, compressing the gastrointestinal tract and stomach to
cause or even acid reflux, she says. Since nausea can be a sign of
cervical cancer as well as other issues, talk to your primary care
physician before opting for gyno input.
7. Out-Of-Nowhere Weight Loss
The
same factors that can cause cervical cancer-related nausea can cause
unintended weight loss, says Shirazian. (Think: a compressed stomach
that can’t hold very much food.) Plus, if you’re constantly feeling
nauseated, you probably aren’t going to even want to try to eat. If you
lose up to 5 or 10 percent of your bodyweight over the course of six
months without trying, go ahead and call your primary care doc.
