Cervical cancer after pregnancy
Cervical cancer symptoms
Here’s how my cancer tale starts: I had been getting annual well-woman exams and Pap tests for 13 years before my first irregular one, thanks to my attentive and wonderful mother. I had a regular Pap test in December of 2006. We found out I was pregnant with my second child eight months later. It was the product of a regular “you’re 6 weeks pregnant, let’s do a Pap test” call from my doctor’s office, informing me that the findings were abnormal. I had HPV as well. I was reassured at the time that many women have irregular Pap tests for a variety of reasons. I was off to experience pregnancy bliss after a brief colposcopy revealed no major concerns…in the hopes that these HPV cells will be flushed from my system during birth. A regular postpartum test six weeks after birth revealed that those troublesome HPV cells were still present and, as my doctor put it, “weren’t going anywhere on their own.” I had a LEEP procedure at the end of July to get the precancerous cells out of my body for good.
Abnormal pap smear after having a baby
Autumn of 2012 Nicole Padfield, 32, and her family were taken aback when she was diagnosed with an advanced form of cervical cancer just six weeks after giving birth to her third child.
The diagnosis will dispel a lot of popular misconceptions about what cancer looks like that many people have. If she had cancer, how could she have just given birth to a healthy baby boy? She didn’t seem ill and was just in her early thirties, so how could she have cancer?
“You never expect it to happen to you, so it’s convenient to dismiss the warning signs as something else,” Padfield says. “Looking back, I realize that if I hadn’t been pregnant, I wouldn’t have gone to the doctor as soon as I did, and I wouldn’t be here today.”
She’d started to have some bothersome symptoms, including mild spotting, pain, nausea, and a constant throbbing. They were unlike anything she’d had during her previous two pregnancies. After discussing her concerns with her doctor, she was told that the baby was perfectly healthy and comfortable, and that her symptoms were most likely caused by benign cervical polyps that could be removed after delivery.
Cervical changes after pregnancy
Heather Banks was 31 years old and expecting her second child when she received her first irregular pap smear. “I went in for my six-week pregnancy appointment, and the lab said some of my pap cells looked strange,” she explains. Her doctor conducted an HPV examination, which revealed that she was infected with a high-risk strain. “The doctor assured me that the virus would be flushed out of my system once the baby was born, so I wasn’t too concerned,” she says.
After delivering the infant, Banks experienced irregular bleeding (the only sign that something was wrong), and one biopsy led to another. She was diagnosed with cervical cancer three months after giving birth. “Some of the doctors wondered if the pregnancy had accelerated the cancer, but they can’t be sure,” Heather says. “Everything happened so quickly.”
The initial reaction of banks to the news was befuddlement. “I was expected to start teaching a new school year in eight days, and I had no idea what HPV was or that it might lie dormant for years—I kept thinking, ‘Why do I have this, and why now?’” Heather says.
First smear test after pregnancy
Background: The aim of this retrospective multi-center analysis was to identify the epidemiological characteristics, clinical features, and treatment of cervical cancer in pregnancy (CCIP) patients, as well as to assess maternal and infant outcomes.
Methodologies: Between January 2009 and November 2017, data on CCIP patients were collected retrospectively from those diagnosed and treated in 17 hospitals in 12 Chinese provinces. Patients’ ages, tumor clinical characteristics, medical management (during pregnancy or postpartum), obstetrical measures (i.e. gestational age at diagnosis, delivery mode, and birth weight), and maternal and neonatal outcomes were among the data collected. Patients’ overall survival was measured using Kaplan–Meier survival curves and log-rank tests in a survival analysis.
From 45,600 cervical cancer patients (0.23 percent) and 525,000 pregnant women, one hundred and five women diagnosed with CCIP (median age = 35 years) were reported (0.020 percent ). At the time of cancer diagnosis, the median gestational age was 20.0 weeks. 93.3 percent of CCIP patients were in the IB1 clinical stage, 81.9 percent went to the clinic because of vaginal bleeding during pregnancy, and 72.4 percent had not been tested for cervical cancer in over 5 years. Patients were divided into two categories to study cancer treatments during pregnancy: those who had their pregnancy terminated (TOP, n = 67) and those who had their pregnancy continued (COP, n = 38). The TOP group was found to be more likely than the COP group to be diagnosed at a younger gestational level (14.8 vs. 30.8 weeks, p 0.001). The COP group’s average mortality danger ratio was 1.063 times that of the TOP group (95 percent confidence interval = 0.24, 4.71). In terms of maternal survival, there were no major variations between the TOP and COP classes (p = 0.964). At the end of the follow-up period, 33 of the infants of CCIP patients were well, with a median age of 18 2.8 months.