Transcript Cancer Care Manitoba

Cervical Common Sense
Manitoba Cervical Cancer Screening Program
April 2010
www.TellEveryWoman.ca
What do you already know
about cervical screening?
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First of all…
where is the cervix?
The Cervix
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Cervical Common Sense
Let the game begin…
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Cancer of the cervix…
a) is very treatable if found early
b) has many early symptoms
c) is hereditary (runs in families)
d) all of the above
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Cancer of the cervix…
a) is very treatable if found early
b) has many early symptoms
c) is hereditary (runs in families)
d) all of the above
www.TellEveryWoman.ca
Facts about cervical cancer:
•
Most types grow slowly
•
It can be cured if found and treated early
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Most women diagnosed with cervical cancer haven’t ever
had a Pap test, or haven’t had a Pap test in five years or
more since their diagnosis
•
Regular Pap tests with follow-up of abnormal changes can
prevent most cancer of the cervix
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Each year in Manitoba
•
45 new cases of cervical cancer
•
15 women die from cervical cancer
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Which of the following women is at
risk for developing cervical cancer?
a)
b)
c)
d)
e)
Mary who has had only one sexual partner in her
lifetime
Eve who has worked as a sex trade worker for the
last 15 years
Sally who started having sex at 14 and has smoked
a pack of cigarettes every day for the past 5 years
Sylvia who had sex once 5 years ago
All of these women
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Which of the following women is at
risk for developing cervical cancer?
a)
b)
c)
d)
e)
Mary who has had only one sexual partner in her
lifetime
Eve who has worked as a sex trade worker for the
last 15 years
Sally who started having sex at 14 and has smoked
a pack of cigarettes every day for the past 5 years
Sylvia who had sex once 5 years ago
All of these women
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Risk factors for cervical cancer:
• Infection with HPV
• Exposure to HPV at an early age
• Having never had a Pap test or have not had
one in over 5 years
• Having HIV
• Cigarette smoking
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How can I reduce my risk?
• Have regular Pap tests (at least one every 2
years)
• Ask your health care provider about the HPV
Vaccine
• Delay sex until late teens or older
• Avoid cigarette smoke
• Keep your body healthy and strong
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Human Papillomavirus (HPV)…
a) is 100% preventable with the use of
condoms
b) is found on the cervix’s of women with
cancer of the cervix
c) only affects girls and young women
d) is a new form of HIV
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Human Papilloma Virus (HPV)…
a) is 100% preventable with the use of
condoms
b) is found on the cervix’s of women with
cancer of the cervix
c) only affects girls and young women
d) is a new form of HIV
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HPV…
•
•
•
•
is very common
is spread easily
often has no symptoms
can cause changes on
your cervix, that if left
untreated, can lead to
cervical cancer
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The HPV Vaccine
•
Gardasil protects against 4
kinds of HPV (16, 18, 6 &
11)
– HPV 16 & 18 cause
over 70% of cervical
cancer
– HPV 6 &11 cause 90%
of genital warts
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The HPV Vaccine
•
Cervarix protects against
16 & 18 (not yet
recommend by National
Advisory Committee on
Immunization, NACI)
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The HPV Vaccine
•
Works best when it is
given to young women
before they start having
sexual contact
•
Does not cure existing
HPV infections
•
Ask your health care
provider about the vaccine
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The HPV Vaccine
•
Girls in grade six are
offered the vaccine free of
charge as of the 20082009 school year.
•
Anyone outside of the
program must pay for the
vaccine, $500 for a series
of three injections over the
course of 6 months
• Still need Pap tests!!
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For more information about the
HPV Immunization Program
in Manitoba…
visit the Manitoba Health website at
www.gov.mb.ca/health/hpv/
or call (204) 788-6737
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What is the best thing you can do to
reduce your risk?
Have regular Pap tests!
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What is a Pap test?
• Cells from your cervix are examined for
changes that may lead to cervical cancer.
The Cervix
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The Pap test…
•
The Pap test looks for
abnormal cells on the cervix
•
It looks for changes
BEFORE they turn into
cancer
•
If those changes are treated
cervical cancer can be
prevented.
www.TellEveryWoman.ca
The Pap test…
a)
b)
c)
d)
e)
looks at the health of the uterus only
looks at the health of the cervix only
looks at the health of the ovaries only
checks for sexually transmitted infections (STI’s)
all of the above
www.TellEveryWoman.ca
The Pap test…
a)
b)
c)
d)
e)
looks at the health of the uterus only
looks at the health of the cervix only
looks at the health of the ovaries only
checks for sexually transmitted infections (STI’s)
all of the above
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A woman should start having
regular Pap tests when…
a)
b)
c)
d)
she turns 18 years of age
she starts having sex
she starts taking the birth control pill
she wants to get pregnant
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A woman should start having
regular Pap tests when…
a)
b)
c)
d)
she turns 18 years of age
she starts having sex
she starts taking the birth control pill
she wants to get pregnant
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The longest a woman should go
between Pap tests is…
a)
b)
c)
d)
one year
two years
three years
five years
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The longest a woman should go
between Pap tests is…
a)
b)
c)
d)
one year
two years
three years
five years
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How often do I need a Pap test?
Pap Test
2008
OK
Pap Test
2010
OK
Pap Test
2012
OK
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Where can I go?
• Your health care provider
• Some clinics have special times
• Call us or visit our website to find out
where you can go in your neighborhood or
community!
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How can I help the test?
• Do not put anything into your vagina
for 24 hours
– No sex toys
– No vaginal lubricants
– No tampons
• Do not have sex for 24 hours
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Women may be able to stop having
Pap tests when they…
a)
b)
c)
d)
are not having sex more than twice per
week
stop having their periods
are 70 years of age
begin regular exercise
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Women may be able to stop having
Pap tests when they…
a)
b)
c)
d)
are not having sex more than twice per
week
stop having their periods
are 70 years of age
begin regular exercise
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I had a hysterectomy…
do I still need a Pap test?
Maybe…ask your doctor or
nurse
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A woman can get a copy of her Pap
test results from…
a)
b)
c)
d)
her doctor
her pharmacist
her neighbor
the Manitoba Cervical Cancer Screening
Program
e) her doctor and/or the Manitoba Cervical
Cancer Screening Registry
www.TellEveryWoman.ca
A woman can get a copy of her Pap
test results from…
a)
b)
c)
d)
her doctor
her pharmacist
her neighbor
the Manitoba Cervical Cancer Screening
Program
e) her doctor and/or the Manitoba
Cervical Cancer Screening Registry
The Registry
•
•
•
•
•
•
Central
Confidential
Easy to access
All Manitoba women
Opt out option
Will send you your results!!
www.TellEveryWoman.ca
If you have an abnormal Pap test it is
important that you keep all
appointments related to your abnormal
Pap test because…
a)
You probably don’t have cancer but the cells
from your cervix look like they have changes
b)
You probably have cervical cancer
www.TellEveryWoman.ca
If you have an abnormal Pap test it is
important that you keep all
appointments related to your abnormal
Pap test because…
a)
You probably don’t have cancer but the cells
from your cervix look like they have changes
b)
You probably have cervical cancer
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What happens if my results aren’t
normal?
• Repeat Pap test in 6 months
• Referral to colposcopy
Colposcopy
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Mary is 50 years old. She had a
normal Pap test two months ago.
Last night she had some bleeding
after she and her partner had sex.
Mary is not having her period.
Mary should…
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a) relax – menopause does weird things
to your body
b) wait a month and see if she feels better
c) have sex again to see if the bleeding
happens again
d) see her health care provider
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a) relax – menopause does weird things
to your body
b) wait a month and see if she feels better
c) have sex again to see if the bleeding
happens again
d) see her health care provider
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When was your last Pap test?
Are you due?
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Remember…
most cervical cancers
can be prevented!
www.TellEveryWoman.ca
We are here to answer your questions!
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•
We have pamphlets in many languages
Most of our resources are available off our website
For more information:
you can call us at
788.8626 or 1.866.616.8805 or
visit our website