Doç. Dr. Cengiz Andan

Gynecological Cancers

The Vital Importance of Early Diagnosis in Gynecological Cancers: Which Symptoms Should You Consider?

The word “cancer” creates justifiable anxiety in all of us the moment it is heard. However, at the point modern medicine has reached, we know that our strongest weapon in the war against cancer is not chemotherapy or radiotherapy, but early diagnosis.

Especially women’s cancers (gynecological cancers) are a group of diseases that can be prevented with regular screenings or can be completely treated by being caught at a very early stage. As Assoc. Prof. Dr. Cengiz Andan, I always emphasize: “Early diagnosis saves lives in cancer, while being late exhausts options.”

So, what signals is your body giving you? Which symptom is a simple infection, and which is a harbinger of a serious disease? Here are the 3 most common types of gynecological cancer women face and the vital clues you need to pay attention to.

The Vital Importance of Early Diagnosis in Gynecological Cancers: Which Symptoms Should You Consider?

1. Cervical Cancer: The Only Preventable Cancer!

It is known in the medical world as the only “preventable” cancer type. Because its cause is 99.7% clear: HPV (Human Papilloma Virus). Since the process of becoming cancerous takes 10-15 years after the virus is transmitted, cancer can be caught at the “precursor lesion” stage before it even forms, thanks to regular checks.

Symptoms You Need to Watch Out For:

  • Bleeding After Intercourse (Postcoital Bleeding): It is the most typical symptom. Spotting or bleeding after sexual intercourse is not normal.
  • Foul-Smelling Discharge: Dark, bloody, or watery (meat broth consistency), foul-smelling vaginal discharge.
  • Irregular Bleeding: Spotting outside of the menstrual period.

Your Protection Shield:

  • Pap Smear Test and HPV DNA Test: Every sexually active woman starting from age 21 should have a regular Pap Smear test, and after age 30, HPV screening.
  • HPV Vaccine: It is recommended for both girls and boys starting from age 9, and for adults up to age 45.

2. Uterine Cancer (Endometrial Cancer): The Most Common Type

It is the most common among cancers of the female reproductive system. It is generally encountered more frequently in the post-menopausal period or in women with a history of obesity, diabetes, and hypertension. Fortunately, since it gives symptoms very early, it is usually caught at an early stage, and a complete cure can be achieved only with surgery (removal of the uterus).

Its Most Important Symptom:

  • Post-Menopausal Bleeding: Even “a single drop of blood” that comes after a woman has entered menopause (i.e., has not menstruated at all for 1 year) is NEVER NORMAL. Do not say “It happened because I strained myself” or “It’s nothing.” Post-menopausal bleeding carries a suspicion of uterine cancer until proven otherwise and requires an immediate biopsy.
  • Pre-Menopause: Excessive heavy and prolonged periods.
The Vital Importance of Early Diagnosis in Gynecological Cancers: Which Symptoms Should You Consider?

3. Ovarian Cancer: “The Silent Killer”

It is the type of gynecological cancer that is hardest to detect and, unfortunately, can progress most fatally. Because the ovaries are located in a large space inside the abdomen, the tumor does not put pressure on surrounding organs until it grows large. Therefore, routine checks are of vital importance.

Insidious Symptoms (Usually Mistaken for Stomach Trouble):

  • Persistent Bloating and Gas: Constant feeling of swelling in the abdomen, pants feeling tight at the waist.
  • Early Satiety: Feeling full quickly while eating, loss of appetite.
  • Groin and Abdominal Pain: Vague, blunt pains.
  • Frequent Urination: The mass may press on the bladder.

If you have stomach-bowel complaints that do not pass despite going to a gastroenterology specialist, you must definitely see a gynecologist and have your ovaries checked.

Assoc. Prof. Dr. Cengiz Andan’s Approach to Diagnosis and Treatment

Time is very precious for a patient who has a suspicion or diagnosis of cancer. In our clinic;

  • Rapid Diagnosis: Diagnosis is made as soon as possible with advanced ultrasonography, colposcopy (examining the cervix by magnifying it), and painless biopsy methods.
  • Laparoscopic Oncological Surgery: Most cancer surgeries (especially uterine and cervical cancers) can now be performed with the closed method (laparoscopy) without the need for open surgery. In this way, while the patient gets rid of cancer, the post-operative recovery process becomes much faster and more comfortable.

Remember; a gynecological examination is not just a “check-up,” it is the greatest life gift you can give to yourself and your loved ones. 20 minutes you set aside once a year can save your life.

Frequently Asked Questions (FAQ)

Does the Pap Smear test show ovarian cancer?

No, it does not. This is a very common misconception. The Pap Smear test only screens for cervical cancer and its precursors. It does not show the inside of the uterus or the ovaries. For ovarian cancer, an annual ultrasound examination and, if necessary, tumor markers (Ca-125) control are required.

Yes. Genetic transmission (family history) increases cancer risk, but the vast majority of cancers (85-90%) occur not due to genetics but due to environmental factors and random mutations. Saying “It doesn’t run in my family” and neglecting checks is a big mistake.

Not every cyst is cancer. Most simple cysts seen in women of reproductive age are benign and go away on their own. However, cysts seen after menopause, cysts containing solid structures (complex), or rapidly growing masses carry a suspicion of cancer and may require surgery.

Although the ideal vaccination age is before sexual activity begins (9-14 years), current guidelines state that women and men up to 45 years of age can be vaccinated. Even if you have contracted HPV, the vaccine protects you against other dangerous types you haven’t caught yet.

If only the uterus is removed and the ovaries are preserved during surgery, you will not enter menopause (hormones continue). However, in cases like ovarian cancer where ovaries also need to be removed, surgical menopause occurs. In young patients with early-stage cancers, “fertility-sparing surgery” options can be evaluated.

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