Cervical Cancer: Early Detection and Prevention Make a Difference
Courtney Carter
/ Categories: WELLNESS, 2024

Cervical Cancer: Early Detection and Prevention Make a Difference

Even though cervical cancer is the second leading cause of cancer death in women aged 20 to 39 years, the news around the disease for anyone born with a cervix is mostly good.

Case and point: the death rate for cervical cancer declined by more than 50% since the mid-1970s, thanks in large part to screenings. In addition, the rate of diagnosis for women younger than 25 has dropped by over 65% since the introduction of the human papillomavirus (HPV) vaccine.

Cervical Cancer Numbers for 2024

According to the American Cancer Society, approximately 13,820 new cases of invasive cervical cancer were diagnosed in 2024. That same year, over 4,300 women died from the disease.

Screenings

As with all cancers, regular screenings and early detection make a huge difference in viable treatment options and likely outcomes.

In the case of cervical cancer, ANYONE BORN WITH A CERVIX SHOULD BE SCREENED.

Screenings for cervical cancer typically include a Pap test and a test for HPV. In both cases, cells are taken from the cervix and sent to a lab for testing. The HPV test is a recent but important addition to screenings as it detects two strains of the virus known to cause 70% of cervical cancers. If your screening reveals you have a high-risk type of HPV, your doctor can develop a plan for follow-up monitoring, further testing, or even treatment of abnormal cells.

 

Are you due for Pap test?

Not sure if or when you should get a Pap test? Click here to see the latest guidelines from the American College of Obstetricians and Gynecologists.

 

Prevention

According to the Centers for Disease Control and Prevention, HPV vaccines have the potential to prevent more than 90% of HPV-related cancers, including cervical precancers in young women. 

As a member of the Vermonters Taking Action Against Cancer HPV Task Force, SVMC encourages individuals of all genders to receive the HPV9 (nine-valent HPV) vaccine beginning at age 9. Your child’s age at the first dose will determine whether they need two or three doses. 

Know your risks

Even though the incidence of cervical cancer is on the decline, the risk is nowhere near zero.

In fact, in addition to HPV exposure, other factors can increase the risk of anyone with a cervix developing the disease. These include:

Smoking: Doubles the risk of developing cervical cancer.  

Being immunocompromised: Conditions like HIV/AIDS and even taking drugs to suppress immune response, can make it harder to fight off HPV infections.

Long-term Use of Birth Control Pills: Using oral contraceptives for 5 or more years increases the risk of cervical cancer.

Family History: If a parent or sibling had cervical cancer, your chances of developing the disease are higher than if no one in the family had it.

While not all risk factors, like family history, can be changed, it’s important to focus on changing those you can. And if you have a factor that can’t be changed, consider that all the more reason to stay current with screenings.

 

Rebecca Hewson-Steller, RN, CN-BN is an oncology nurse at the Dartmouth Health Cancer Center at Southwestern Vermont Medical Center.

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Keep Up the Good Work: Staying Safe as Restrictions Loosen

Like many in Vermont, the leaders and staff at Southwestern Vermont Health Care couldn’t be happier that the number of cases of COVID-19 fell below even our best expectations. The better-than-expected situation we have experienced in Vermont is thanks to all who followed recommendations as closely as possible. However, many with “isolation fatigue” may be ready to relax their own behavior, especially at hearing about the loosening of restrictions. In reality, the precautions we have been taking are as important right now as they were at the beginning of the pandemic. We’d like to take a moment to reiterate what precautions are still in place and remind everyone how important it is to continue being as careful as ever.

Keep Your Hands Clean. As restrictions have increased, calls for frequent handwashing and respiratory etiquette (covering your coughs and sneezes with a tissue, if possible, and throwing the tissue away) seem to have let up. While these actions alone will not prevent someone from contracting COVID-19, they are still the best actions to prevent acquiring an infection. If you have relaxed your handwashing habit, now’s the time to beef it back up again!

“Stay Home, Stay Safe.” The order to limit trips from home remains in effect through at least May 15. Some iteration of this guideline is likely to persist for some time beyond that. This means we should be leaving our home only for the following reasons: for personal safety, to get food or medicine, to seek medical care, to exercise, to care for others, or to go to work.

Cover Your Face. While outside the home, wear a cloth mask or face covering. People who do not have symptoms can spread COVID-19, so face coverings keep you from spreading the illness if you are ill without knowing it. Masks also keep you from touching your eyes, nose, and mouth and potentially infecting yourself or others.

Keep Your Distance. Even while wearing face coverings, we should all continue to keep at least 6 feet from others. The distance is about the same as the length of a long couch. If you could touch the person when both your arms are outstretched, you are still about 2 feet too close.

Stay Home Some More. You may have COVID-19 if you have a cough, shortness of breath, or difficulty breathing or at least two of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, and a sudden loss of taste or smell.  Call your provider. In addition, the Centers for Disease Control has launched a self-checker tool to help guide you through making decisions based on your symptoms. If you have any questions, call the SVHC COVID-19 Informational Hotline at 802-440-8844.

Seek Immediate Medical Attention. If you have difficulty breathing, persistent pain or pressure in the chest, new confusion or inability to arouse, or bluish lips or face, call 9-1-1 or your local Emergency Department and go to the hospital. SVMC’s number is 802-447-6361.

While the likelihood of contracting COVID-19 in our area is relatively low right now, we all need to remain vigilant in order to keep it that way. How well we adhere to the restrictions that remain is likely to make a big difference in how many of our friends and neighbors are sickened. In short, keep up the good work!

Marie George, MD, is SVMC’s infectious disease specialist.

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