Sexually active women urged to test for Cervical Cancer

Dr Rohit Kumar C, Consultant, Surgical Oncology, Manipal Hospitals, India, has asked women between 21 to 30 years and beyond and sexually active to consult a physician for cervical cancer testing and treatment.

He said sexually active women whether with single or multiple sex partners were at risk of developing a cervical cancer, hence the need to test for the condition.
Pap smear, he said, was the process used to detect cervical cancer at its early stages.

“Women from 21 to 30 years old should have Pap Smear test every three years. Those from 30 to 65 years should have pap every three years and HPV every five years,” he said.

Cervical Cancer is a malignant tumour of the cervix, the lowermost part of the uterus or a type of cancer that occurs in the cells of the cervix.

The main cause of cervical cancer is a long-lasting infection with certain types of human papillomavirus (HPV). HPV is a common virus that is passed from one person to another during sex.

Dr Rohit who gave the advice while addressing participants from Ghana and other parts of Africa at a webinar, as part of activities by the Manipal Hospitals to commemorate the 2022 Mothers’ Day, said it was safe for all women to join the fight to make the World Health Organization (WHO) achieve its 2030 target of eliminating cervical cancer.

He explained that 90 per cent of the cancer was caused by the HPV out of which 70 per cent was caused by HPV 16 and 18.

HPV, he said, also caused penile cancer, vaginal cancer, vulva cancer, anal cancer, genital warts, head and neck cancer.

Dr Rohit noted that the WHO 2030 targets towards elimination of cervical cancer aimed at getting 90 per cent of girls fully vaccinated with HPV vaccine by 15 years of age, 70 per cent of women screened using a high-performance test and 90 per cent identified with cervical disease treated.

Approved HPV vaccines are Cervarix (bivalent HPV vaccine), Gardasil (quadrivalent HPV vaccine) and Gardasil 9 (9-valent HPV vaccine), he said.

Dr Rohit stated that treatments for cervical cancer included surgery, chemotherapy and radiotherapy.
He admonished women to take bold steps within their health life to ensure that they were tested and protected from cervical cancer.

“Don’t let cervical cancer stop you. Get screened and vaccinated. It’s time to end cervical cancer and remember that, five minutes of your time for testing and intervention can give you five years peace of mind,” he added.

Dr Yogita Parashar, a Consultant Obstetrician and Gynecologist, Manipal Hospitals, who spoke on postpartum depression (depression after childbirth), said the situation could be caused by lifestyle modifications where mothers after delivery handled babies alone, with issues of being unable to sleep due to baby care duties and concerns of breast tenderness, and abdominal pains.

She said such inevitable conditions fluctuated their emotions and subsequently gave them depression.
The solutions for women who suffered postpartum depression were counseling and anxiety suppressant drugs, she said.

Dr Yogita said women and mothers were the backbone of every family and encouraged them not to overlook their diet, exercise, have time for themselves, and take rest from work and other demanding duties.

“Women are not taking good care of their diet, but they manage their homes and offices, take care of kids, and not themselves. They fail to rest and relax and that is very dangerous for their health,” she observed.

Manipal Hospitals is India’s second-largest multi-specialty healthcare provider treating more than four million patients annually.

Its specialties include bariatric surgery, accident and emergency care, cancer care, cardiac science, nephrology, neuroscience, spine care and urology.