“Preventing Cervical Cancer: Causes, Symptoms, and Vaccination against HPV”

2023-04-24 02:49:41

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Von: Caroline Gehrman

Cervical cancer is the fourth most common cancer in women. These diseases would be preventable, since a sexually transmitted pathogen is responsible for almost all cases.

Bremen – January is the month of “awareness” for cervical cancer. The World Health Organization WHO points out that this is the fourth most frequently diagnosed type of cancer in women. Viruses increase the risk of getting sick enormously, so it’s a type of cancer that you can get infected with.

Causes and symptoms of cervical cancer: Vaccination against HPV can protect

In almost all cases, the cause of cervical tumors is the human papilloma virus (HPV), which is mainly transmitted during unprotected sexual contact. In fact, HPV is the most common sexually transmitted disease. The risk of infection can be significantly reduced by vaccination – and with it a great many cancer diseases. The vaccination works for both women and men – because they too are carriers and transmitters of the virus.

Some warning signs and symptoms tell you that you have cervical cancer. © Jochen Tack/imago

In Germany, around 4,600 women develop cervical cancer every year, according to the cancer registry of the Robert Koch Institute (RKI) can be seen. Around 604,000 women were affected worldwide in 2020, most of them in countries with little economic power. 342,000 women died loudly WHO due to cervical cancer, which is mainly due to the fact that there are few preventive care options in low-income countries. Consistent preventive care is essential for recognizing and successfully treating the disease.

Regular screening and early detection can prevent the onset of cervical cancer

Early detection of cervical cancer is also used in Germany. Regular swabs are used to examine the mucous membranes for tumor precursors. If these tissue changes are already advanced, they will be surgically removed at discretion so that they do not develop into malignant tumors. However, since cervical cancer almost always develops as a late consequence of infection with HP viruses, there are also various preventive measures to avoid the disease, above all the HPV vaccination. Because this protects well against infection with the carcinogenic, i.e. cancer-causing, types of HPV.

Precursor and symptoms of cervical cancer: Correctly interpreting warning signs in good time

Since an infection with HPV usually runs its course without symptoms, most of those affected do not know anything about their disease – and therefore nothing about their increased risk of cancer. Anyone who does not take preventive measures will probably only notice the disease when it is already at an advanced stage through symptoms. Some signs are commonly associated with cervical cancer tumors, but they can also have other causes, such as inflammation. Other symptoms can generally indicate a tumor disease, such as lung cancer, colon cancer or breast cancer.

If you notice symptoms that indicate a tumor in the cervix, you must urgently seek medical advice to rule out other diseases. The first warning signs of cervical cancer include:

Overview of symptoms and warning signs of cervical cancer

  • unusual bleeding (e.g. after intercourse, outside of menstrual periods or after menopause when the bleeding has stopped)
  • unusual or foul smelling vaginal discharge
  • Pain during or after intercourse
  • fatigue and weight loss
  • abdominal and pelvic pain
  • Pain when urinating or having a bowel movement
  • swollen legs from congested lymphatic fluid

(Those: Krebsinformationsdienst of the German Cancer Research Center)

Risk factors for cervical cancer – these signs should be looked out for

The already mentioned HP virus is responsible for almost all diseases with cervical cancer. However, infection with it does not necessarily lead to cancer. There are over 200 different types of the virus and not all of them cause cancer, only the variants classified as high-risk HPV types. As a rule, the immune system can cope with the pathogens and renders them harmless after a certain time so that they can no longer be detected. This also applies to the high-risk types. In some cases, however, the infection leads to cancer.

There are a number of other factors that further increase the risk of the infected tissue developing into a malignant tumor. This includes:

  • Smoking
  • hormonal contraceptives (pill)
  • many births
  • Immunosuppression (e.g. after organ transplants)
  • Infections with other sexually transmitted pathogens in the genital area (e.g. chlamydia, herpes simplex and gonococci)
  • HIV infections
  • genetic predisposition (rather secondary)

Nevertheless, these factors alone do not cause cervical cancer, but in almost all cases it is the combination with an infection with an HPV high-risk type. But infection with low-risk types of the virus can also have unpleasant consequences: they can lead to genital warts. These are harmless whitish-red growths in the intimate area, but they can be treated. They can occur in both women and men because the virus also affects men. They also become infected with HPV through unprotected sexual contact and are therefore carriers and transmitters of the virus.

There is also an increased risk of cancer from HPV for men – they can also infect others with the pathogen

Just like in women, men can also develop a tumor from the infected tissue, usually on the penis, anus or throat. Researchers also found evidence that there could be a connection between the development of prostate cancer and HP viruses. “There is still no scientific proof,” says internist Jürgen Riemann pharmacy magazine. Vaccination against HPV is therefore worthwhile according to Stiko not only for girls but also for boys. Because even condoms do not necessarily protect against infection.

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