Tag Archives: cervical cancer

MPCP - A woman speaking to her doctor about cervical cancer

Cervical Cancer Awareness: Why Early Detection and Advocacy Save Lives

Cervical cancer was once one of the most common and deadly cancers for American women. Thanks to advances in prevention and screening, cervical cancer incidence and mortality rates have dropped significantly since the 1970s. 

However, recent trends reveal a complex picture: rates are increasing in some age groups, and disparities persist. This Cervical Cancer Awareness Month, we encourage you to advocate for your health by staying informed, getting screened, and taking preventive action.

Cervical Cancer Trends: Progress and Challenges

  • Incidence Rates: Cervical cancer cases have dropped by more than half since the 1970s, largely due to widespread Pap testing. However, rates have stabilized in recent years, and for women ages 30–44, rates increased by 1.7% annually from 2012 to 2019.
  • HPV Vaccination Impact: Among women aged 20–24, rates have declined by 11% each year, showing the early effects of HPV vaccination.
  • Mortality Rates: Death rates have dropped by more than half since the 1970s, but disparities remain. Black and Native American women have cervical cancer death rates 65% higher than White women, underscoring the need for equitable access to care.

These numbers show that prevention works, but continued vigilance and action are essential.

Why Early Detection Matters

Cervical cancer is highly treatable when caught early, often before symptoms develop. Pap tests detect precancerous changes, allowing providers to address them before they progress. For many women, the HPV vaccine adds an extra layer of protection, preventing the infections responsible for most cervical cancers.

Advocating for Your Health: What Every Generation Needs to Know

Prevention and early detection start with awareness and self-advocacy. Here’s what you should consider based on your age and risk factors:

  • Teens and Young Adults (Ages 9–26): Focus on Prevention
    The HPV vaccine is most effective when given early, starting at age 9. If you or your children haven’t been vaccinated, it’s not too late. Talk to your doctor about the benefits of the vaccine for cancer prevention.
  • Women in Their 20s: Establish a Routine
    Start regular Pap tests at age 21. These screenings are critical for detecting abnormal cells early. Consider discussing co-testing with HPV tests, which provides a more complete picture of your risk.
  • Women Ages 30 to 44: Practice Increased Vigilance
    Cervical cancer rates are rising in this group, making consistent screening more important than ever. Ask your provider about personalized screening schedules based on your medical history.
  • Post-Menopausal Women: Keep the Conversation Going
    Some women assume they can stop screening after menopause, but that’s not always the case. Talk to your provider about whether continued screenings are necessary based on your health history.

Addressing Health Disparities: Advocating for Equity

It’s vital to address the disparities that put some women at greater risk. Black and Native American women, in particular, face higher mortality rates. If you or a loved one has experienced barriers to screening or care, advocate for your needs. Speak openly with your provider, and don’t hesitate to seek support to ensure you receive this vital care. 

Prevention Starts with You

  • Are you up to date on your Pap tests and HPV screenings?
  • Have you or your children received the HPV vaccine?
  • Do you know your family history and personal risk factors?

At Maryland Primary Care Physicians, we’re here to support you every step of the way. Reach out to your provider to discuss your risk factors and next steps—whether it’s scheduling a Pap test, getting the HPV vaccine, or reviewing your screening schedule. 

Cervical Cancer: Very Preventable

By: DELILAH MILLIGAN, CRNP

Cervical cancer was once the leading cause of cancer death for American women. Thanks to routine testing and vaccination, it is now largely preventable, but women of color still get and die from the disease at higher rates than other women.

Cause of cervical cancer
Cervical cancer occurs in the cells of the cervix — the lower part of the uterus that connects to the vagina. Most cases of cervical cancer are caused by the human papillomavirus (HPV), a sexually transmitted infection. Most people’s immune systems fight off HPV with no problem. In 10%-20% of women, however, the virus survives and can cause cervical cancer.

Routine Pap tests can detect precancerous conditions of the cervix, as well as early stages of cancer, and the HPV vaccine is effective in preventing the disease. With this combination, cervical cancer rates and deaths have declined by 75% in recent years.

Racial disparities in cervical cancer
Despite this good news, women of color are twice as likely to get and die from cervical cancer than white women. Reasons for this include disparities experienced by some minority women:
• Economic barriers to gynecologic care. Low-income women are less likely to be able to access health care, including cervical cancer screening.
• Even when they get a Pap test, minority women have less access to follow-up care. This makes them more likely to get a late-stage diagnosis of cervical cancer when successful treatment is more difficult.
• Black women are the least likely of any racial group to get the HPV vaccine. Barriers include limitations in insurance coverage, lack of information about the value of the HPV vaccine, and mistrust of the health care system.

Symptoms of cervical cancer
Early-stage cervical cancer generally has no symptoms. Signs of more advanced cancer include:
• Vaginal bleeding after intercourse, between periods, or after menopause
• Watery, bloody vaginal discharge that may be heavy and have a foul odor
• Pelvic pain or pain during intercourse

Reducing your risk of cervical cancer
• Receiving a vaccination to prevent HPV infection can reduce your risk of cervical cancer. Ask your doctor whether an HPV vaccine is right for you.
• Routine Pap tests can detect precancerous conditions of the cervix, as well as catch cancer early when it’s treatable. Begin Pap tests at age 21 and repeat them every few years.
• Prevent HPV and other sexually transmitted infections by practicing safe sex, such as using a condom every time.
• Smoking has been linked to cervical cancer, so if you smoke, talk to your doctor about ways to quit.

Delilah Milligan, Certified Registered Nurse Practitioner, received her Bachelor of Science in Nursing degree from Notre Dame of Maryland University and her Master of Science in Nursing degree from Chamberlain College of Nursing. She cares for patients in MPCP’s Glen Burnie office.