cervical cancer – Hello Doctor

What happens during a pap smear?

August 15th, 2017 by The Hello Doctor Team

A pap smear, also known as a pap test, can save your life. Doctors use it detect STDs and screen for cervical cancer: the second most common type of cancer in women. A Pap smear can spot changes in the cervix, so you can get treated before it develops into cancer.

Risk factors for cervical cancer

One of the major risk factors for cervical cancer is contracting Human Papilloma Virus (HPV), a sexually transmitted disease through skin-to-skin contact. Other risk factors include:

smoking
a weakened immune system
long term use of contraceptives
being overweight

How often to get tested

If you are sexually active and over 21 years old, you should get a pap smear every three years until 30. After the age of 30, doctors recommend one every five years. If you’re 65 years and older, you may not need the tests any longer, but it’s best to get the final word from your doctor.

How it works

The exam can be done by a gynecologist, in a doctor’s office, clinic or hospital. Your cells are collected from the opening and visible part of the cervix with a cotton swab, brush or spatula. The cells are then smeared onto a slide or mixed with a liquid preservative and sent off to a lab to be examined under a microscope. You may have slight vaginal bleeding after the test, so keep a sanitary pad or panty liner with you to protect your clothes from spotting.

The smear tests for unhealthy (cancerous) cells in the cervix, and is a quick and simple way to test the overall health of your cervix. It’s also a chance to talk to your doctor about any discomfort or infection that you may have had. Remember: there’s little to no risk in getting the test done, and can help prevent cervical cancer!

Prep ahead

Try not schedule a test while you’re on your period as the blood may interfere with the results. You may also want to empty your bladder before the test (for your own comfort).

Avoid the following 24 hours before the test:

Intercourse
Douching
Tampons
Sprays
Powder
Vaginal medicine

If you don’t avoid these, the sample may be unclear to view, and you’d have to go back for another pap-smear.

After care

If your test shows abnormal cells you may need to take another test to determine whether a follow up is needed. This may sound frightening but it’s not a certain cancer diagnosis! It could simply mean an infection or abnormal cervical cells. Your doctor may then perform a colposcopy; where an instrument that looks like a microscope is used to closely examine the vagina and cervix. If the colposcopy shows abnormal tissues, a cervical biopsy will be performed to remove cells or tissues from the abnormal area of examination.

References:

Common cancers, and how to prevent them

July 12th, 2017 by The Hello Doctor Team

The word “cancer” can strike immediate fear into anyone’s heart. This disease, responsible for millions of deaths is frightening and deserves its big bad reputation. A new report by the Macmillan Cancer Support Organization in the UK reveals that it’s now more common for a person to be diagnosed with cancer than to get married, have a first child or earn a university degree.

Sounds dire, but the purpose of the study by the charity Life with Cancer, was to demystify and diminish the fear around cancer.

Lynda Thomas, chief executive of Macmillan Cancer Support, said: “Being told you have cancer changes your life and it can leave people feeling as if they’ve been thrust into the unknown, bewildered and unprepared. But as more people are being diagnosed it’s important that we’re all better informed.”

Decoding cancer

All cancers involve the abnormal division of cells and the ability to form a tumour or spread cancerous cells to other parts of the body. There are more than 100 types of cancer, each with its own causes, symptoms and treatment.

Examples include breast, prostate, liver, lung and stomach cancer. These account for about 80% of all cancers, of which breast cancer, according to the National Cancer Institute in America, is the most common. South African statistics too bear this out.

Breast cancer is uncontrolled growth of cells in the breast. These cells eventually form a tumour that can be felt as a lump or seen under an X-ray.
Look out for: A lump in the breast, unusual change in the breasts, bloody nipple discharge, breast or nipple pain, nipple retraction (turning inward), skin irritation or dimpling, swelling of breast or parts of it.
Prevention: Lifestyle changes can reduce your risk. Keep your weight consistent and stay as fit as possible. Smoking is a no-no so quit immediately. When it comes to alcohol, less is more. What you eat is also important. A study in Japan found that a plant-based diet could cut the risk of developing breast cancer by 15%. Load your plate with plenty of vegetables, eat as little sugar as possible and stay away from processed foods (cold meats, packaged convenience foods).

Lung cancer is an uncontrollable growth of cells in one or both lungs. These cells interrupt the normal function of lungs and can form a tumour. Cancer can begin through alternation of DNA sequence, caused by environmental factors, smoking, and breathing in particles such as asbestos.
Look out for: A persistent cough that may be accompanied by blood or an unusual amount of mucous. Frequent episodes of pneumonia and bronchitis, chest pain, wheezing breathing, a hoarse or raspy voice, headaches and weight loss could be early signs. Smokers are more at risk here.
Prevention: Avoid smoking completely, and secondhand smoke. Stay clear of toxic chemical exposure (radon gas and carcinogens). Exercise regularly to improve lung function. It’s also worth overhauling your diet to include more fruit and vegetables, as these are natural sources of vitamins and nutrients. There’s promising research that suggests that broccoli and brussel sprouts could lower your risk by 40%. Go greens!

Cervical cancer affects the entrance to the uterus. Cancer of the cervix is most often associated with the human papillomavirus (HPV) which is a common sexually transmitted infection.
Look out for: Bleeding between periods, bleeding after sex, discomfort during sex, smelly vaginal discharge and frequent pelvic pain.
Prevention: Always practise safe sex and look into getting the HPV vaccine. If you smoke, quit. Smoking is a big risk factor for cervical cancer. A Pap smear is your early indicator with this type of cancer. It needs to be done every other year (by a doctor or gynaecologist) and it is specifically designed to check for early warning signs of cancer. If caught early, survival rates are good.

Skin cancer occurs very commonly in South Africa, due to our sunny weather conditions. In fact, we have one of the highest rates of skin cancer in the world. And contrary to popular belief, it doesn’t just target the light-skinned (although it’s more common). Ultraviolet (UV) radiation from the sun is the main cause of skin cancer. People who live in areas that get high levels of UV radiation are more likely to get skin cancer.
Look out for: Skin changes that include small, smooth, shiny, pale or waxy lumps; firm red lumps; a sore or lump that bleeds or develops a crust or a scab; a flat red spot that’s rough, dry, or scaly and may become itchy or tender; and rough, scaly red or brown patches.
Prevention: A tiny amount of sun exposure is good to boost your Vitamin D levels, but anything more than 10 minutes of unprotected sun exposure a day is risky. Sunblock is non-negotiable. You need sunblock even when the sun’s not out and a substantial amount to cover all exposed areas.

References

Fight cervical cancer

September 18th, 2014 by The Hello Doctor Team

Hearing the C word is devastating to anybody. Despite our best efforts, many people are diagnosed with cancer each day, however, there is one cancer we can prevent: cervical cancer. Continue reading “Fight cervical cancer”