• Raising Awareness of Gynecological Cancer

    Mr Martin Hirsch, consultant gynecologist and endometriosis specialist, explains some of the types, signs, symptoms, and risk factors of gynecological cancers so that it can be diagnosed early.

    Gynecological cancers specifically affect the female reproductive organs, including the cervix, uterus, ovaries, fallopian tubes, and vulva. These cancers collectively pose a significant health concern for women worldwide. Understanding these diseases, their risk factors, and the importance of early detection is paramount for womenโ€™s health.

    Cervical Cancer

    Cervical cancer primarily affects the cervix, the lower part of the uterus. Persistent infection with high-risk strains of human papillomavirus (HPV) is the leading cause of cervical cancer. Regular cervical smears with your GP or gynecologist and HPV vaccinations enable both prevention and early diagnosis.

    Uterine (Endometrial) Cancer 

    Uterine cancer originates in the lining of the uterus, known as the endometrium. It is most common among women after the menopause, and is associated with increasing body weight. 

    A common sign is unusual vaginal bleeding or discharge. Early diagnosis often leads to a favorable prognosis.

    Ovarian Cancer 

    Ovarian cancer can be challenging to diagnose as its symptoms are often non-specific. These include: 

    • stomach pain 
    • frequent passing urine 
    • bloating 
    • loss of appetite or early fullness 

    This makes it difficult to detect until it has reached an advanced stage. Risk factors include a family history of ovarian or breast cancer and certain genetic mutations.

    Fallopian Tube Cancer 

    This cancer can develop in the fallopian tubes, and is responsible for a proportion of ovarian cancers. The presentation is similar to ovarian cancer, and diagnosis often occurs in advanced stages. Women with a family history of ovarian or breast cancer may be at a slightly higher risk.

    Vulvar Cancer 

    Vulvar cancer occurs on the external female genitalia, and can manifest as itching, pain, ulceration, or changes in the skinโ€™s color or thickness. It can be associated with chronic skin conditions or HPV infection.

    Read the full version of this article in Issue 5 of Female Health & Fertility magazine.

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