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Cervical Cancer and Its Impact on Women In Singapore

Ovarian and Cervical Cancer Awareness. Woman Holding Teal Ribbon on Lower Abdomen, Uterus, Female Reproductive System, Women's Health, PCOS and Gynecology
Cervical cancer can have profound effects on women’s health and well-being. It affects not just physical health but also emotional and psychological stability. Women diagnosed with cervical cancer may experience anxiety, stress, and concerns about fertility and sexual health. In Singapore, cervical cancer has a significant public health impact, being the 10th most common cancer in Singaporean women.
This underscores the need for increased awareness and education to reduce late-stage diagnoses. Despite advances in cervical cancer treatment, many cases can be prevented through regular screenings and vaccinations, highlighting the need for proactive and preventive from Cervical Cancer.

How does Cervical Cancer affect women's health?

Cervical cancer can have profound effects on women’s health and well-being. It affects not just physical health but also emotional and psychological stability.

Psychological Challenges

Women diagnosed with cervical cancer often experience a complex array of emotions, including anxiety, depression, and fear about their prognosis and treatment. These psychological challenges can persist even after treatment, with ongoing concerns about cancer recurrence and struggles with self-esteem.

Fertility Issues

Furthermore, cervical cancer raises significant concerns about fertility and sexual health, particularly for women of reproductive age. Treatments such as hysterectomy or radiation therapy can lead to infertility, while others may increase risks in future pregnancies.

Sexual Dysfunction

Some women may experience sexual dysfunction due to physical changes like vaginal dryness or pain during intercourse, as well as emotional barriers such as low libido. These issues can profoundly affect intimate relationships and a woman’s sense of identity.

The multifaceted nature of these challenges highlights the importance of comprehensive care that addresses not only the physical aspects of cervical cancer but also provides preventive care approaches, psychological support, sexual health counselling, and fertility preservation options when possible.

Cervical Cancer Awareness

What’s the first step to understanding cervical cancer?​

Begin with knowing the risk factors and identifying cervical cancer symptoms.
Primary prevention of cervical cancer involves understanding its risk factors and taking proactive steps to reduce them. While certain risk factors may be unavoidable, others can be addressed through lifestyle changes and preventive measures, contributing significantly to reducing the risk of developing cervical cancer.

Early-stage cervical cancer often presents no symptoms, making regular screening vital. When symptoms appear, they may include:

  • Abnormal vaginal bleeding
  • Unusual vaginal discharge
  • Persistent pelvic pain
  • Pain during urination
  • Changes in menstrual patterns
  • Leg swelling (in advanced stages)
Learn more about cervical cancer symptoms here.

Stages on Cervical Cancer

Cancer stages describe how far the cancer has spread in your body. Understanding the stages of cervical cancer is crucial, as it guides treatment decisions and helps predict outcomes. For cervical cancer, there are four main stages. The lower the number, the less the cancer has spread.

Stage 1

Stage I is considered the early stage of cervical cancer. At this point, the cancer is only in the cervix and hasn’t spread to other parts of the body. This is often the most treatable stage, with surgery being a common approach. Many women diagnosed at this stage have a good chance of successful treatment and recovery.

Stage 2

As we move to Stage II, the cancer has grown beyond the cervix. It might be in the upper part of the vagina or in nearby tissues. This stage is often referred to as locally advanced cervical cancer. Treatment at this stage usually combines chemotherapy and radiotherapy, an approach known as chemoradiotherapy. While more intensive than treatment for Stage I, many women still respond well to treatment at this stage.

Stage 3

Stage III indicates that the cancer has spread further into the pelvic area. It might be affecting the lower vagina or the pelvic walls. In some cases, it could be blocking the kidneys, which can cause additional health problems. Treatment for Stage III typically involves a combination of chemotherapy and radiotherapy, similar to Stage II but often more aggressive. The goal is to shrink the tumour and prevent further spread.

Stage 4

Stage IV is the most advanced stage of cervical cancer. It’s divided into two sub-stages: IVA and IVB. In Stage IVA, the cancer has spread to nearby organs like the bladder or rectum. In Stage IVB, the cancer has spread to distant parts of the body, such as the lungs or liver. Treatment at this stage focuses on controlling symptoms and improving quality of life, rather than curing the cancer.

Importance of Screening & Vaccination for preventing Cervical Cancer

Screening and vaccination are crucial in preventing cervical cancer. Detecting cervical cancer in its early stages offers the best chance for successful treatment, while vaccination helps protect against high-risk HPV strains that are responsible for the majority of cervical cancer cases.

A Pap smear and HPV testing are essential tools for cervical cancer prevention and early detection:

  1. Pap Smear: This test examines cervical cells for abnormalities that could indicate precancerous changes or cervical cancer. It helps detect abnormal cell growth early, allowing for timely intervention before it progresses.

  2. HPV Testing: This test identifies the presence of high-risk types of human papillomavirus (HPV), which is the leading cause of cervical cancer. Detecting these HPV strains helps assess the risk and determine the need for closer monitoring or preventive measures.

Together, these tests offer a comprehensive approach to safeguarding cervical health.
Early detection significantly improves the chances of successful treatment and can prevent precancerous conditions from progressing into cervical cancer. Regular screenings play a crucial role in identifying abnormalities before symptoms appear, helping to reduce the occurrence of late-stage diagnoses.

Priortising Preventive Care for Cervical Cancer

Cervical cancer is a significant health concern for women in Singapore. Preventive care is the cornerstone of reducing cervical cancer cases in Singapore. By identifying risks early and addressing them promptly, women can significantly lower their chances of developing cervical cancer.
Key Components of Preventive Care:

  • Education and Awareness: Understanding the causes, symptoms, and risks of cervical cancer empowers women to make informed health decisions.
  • Lifestyle Modifications: Avoiding smoking, practising safe sex, and maintaining a healthy immune system can reduce HPV infection risks.
  • Routine Screenings: Pap smears and HPV testing are critical for detecting early-stage abnormalities. Timely intervention can prevent these abnormalities from progressing into cancer.
  • HPV Vaccination: The HPV vaccine offers protection against the most common high-risk HPV strains, significantly lowering the likelihood of developing cervical cancer.
Cervical cancer remains a serious yet preventable health concern in Singapore. Regular screenings, HPV vaccination, and proactive steps are essential for the prevention of cervical cancer. By spreading awareness and encouraging preventive care, we can reduce the burden of cervical cancer in Singapore and protect women’s health for generations to come.