Pay attention ladies: Here’s what every woman should know about gynecological cancers

“I’m just not on a regular cycle yet” or “It must be menopause.” I have met hundreds of women both young and old quoting these lines at the hospital and society in general. Abnormal periods are common among young and ageing women. While it can be an indicator of those “quoted” events, it could also be a sign of gynecologic cancer. Gynaecological cancers are caused by the growth and spread of cancer cells in the female reproductive organs, including the cervix, ovaries, uterus, fallopian tubes, vagina and vulva.



In India, around 70% of women with gynaecological cancers get a diagnosis at an advanced stage of the disease. While the statistics are alarming in itself, what makes it more dangerous for women is mainly lack of awareness, for which they may be diagnosed late, or their reluctance to visit a doctor. Another pressing issue among women in India is poor menstrual hygiene, thanks to the taboo surrounding menstruation and thereby lack of accessibility to adequate sanitation.

Each gynecologic cancer is unique, with different signs and symptoms, different risk factors (things that may increase your chance of getting a disease), and different prevention strategies. All women are at risk for gynecologic cancers, and the risk increases with age. When gynecologic cancers are found early, treatment is most effective. Ovarian cancer has emerged as one of the most common malignancies affecting women in India and has shown an increase in the incidence rates over the years. Although cervical cancer is on a declining trend, it remains the second most common cancer in women after breast cancer. Unhygienic practises can lead to infections, Reproductive Tract Infection and Urinary Tract Infection, thereby causing cervical cancer.

While each gynecologic cancer has its own individual symptoms, a woman should have a general awareness of her body and know what is ‘normal’ for her.  Every woman must stay alert to abnormal changes in her body and report these to a doctor at the earliest.

10 signs of gynaecological cancer you should not ignore
Pain or pressure in the pelvic area, abdomen, or back
Unusual vaginal discharge or bleeding
Frequent abdominal bloating or swelling
Frequent urination
Bleeding between periods, after sex, or after menopause
A sore in the genital area that does not heal
Skin changes on the vulva
Fatigue
Difficulty eating or feeling full too quick
Unexplained weight loss

What else can you do? 

Keep in mind, each cancer also has its own unique risk factors, which could include genetic predisposition, obesity and advanced age. With that, arm yourself with information and take advantage of the resources available. Know if you have a family history of gynecologic cancer or any cancer. Adopt a healthy lifestyle – eat nutritious foods in moderation and engage in physical activity.  

And while there isn’t a screening test for all gynecologic cancers, consider the ones that do exist.  Talk to your doctor about whether you are of an appropriate age for a Pap smear.  This test can detect precancerous changes that occur in cells and can eventually become cervical cancer.  While current guidelines recommend a woman receive the test every three years beginning at age 21, it should ideally be discussed doctor, as other factors may influence the frequency of the exam. Get young daughters between the ages 9-26 vaccinated for HPV infection, which could cause cervical, vaginal and vulvar cancers.

While concerns regarding your gynecologic health maybe a bit embarrassing to discuss with your doctor, be proactive and ask questions – it just may save your life.

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