{"id":1599,"date":"2021-12-19T08:57:14","date_gmt":"2021-12-19T08:57:14","guid":{"rendered":"https:\/\/drshellysingh.com\/blog\/?p=1599"},"modified":"2025-12-17T11:46:09","modified_gmt":"2025-12-17T11:46:09","slug":"cancer-cervix","status":"publish","type":"post","link":"https:\/\/drshellysingh.com\/blog\/cancer-cervix\/","title":{"rendered":"Cancer cervix"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1599\" class=\"elementor elementor-1599\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-21ca378 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21ca378\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d298258\" data-id=\"d298258\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a1f3dd elementor-widget elementor-widget-text-editor\" data-id=\"1a1f3dd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Cancer cervix<\/strong> is the second most important cancer in India over the last two decades.<\/p><h4><em><strong>Why must we know these figures? Because Cancer Cervix is rampant and a huge killer.<\/strong><\/em><\/h4><ul><li><br \/>It causes 23.5 % of all cancers in women in India.<br \/>Globally age-adjusted incidence rates are 15.3\/100000. In India, this is 27\/100000.<\/li><li><br \/>The incidence has reduced in urban areas but in rural areas, with limited-resource settings in medical treatment, it is still very high.<\/li><li><br \/>Every year about 134420 cases are added in India and about 75000 deaths occur due to the same. (2008)<\/li><li><br \/>By 2025 the projected increase in numbers is up to 116171.<\/li><\/ul><p>\u00a0<\/p><p><strong>-Why vaccinate?<\/strong><br \/>We do not know the reasons behind many cancers, however, this is not true about the Cancer cervix. It is caused by a very common virus called HPV or Human Papillomavirus which is sexually transmitted. If we target girls for vaccination before they start with sexual activity , it will protect against this extremely ominous disease.<\/p><p><strong>Which vaccines are available?<\/strong><br \/><em>There are 2 vaccines available in India.<\/em><br \/>One is called Gardasil<\/p><p>The other is called CervarixGardasil protects against HPV 6,11,16,18,31,33,45,52,53<\/p><p><br \/>Gardasil also protects against genital warts, cancer of the anus, vagina and vulva, and is also licensed for males( though not in India)<\/p><p>Cervarix protects against the two high-risk HPV viruses 16,18<\/p><p><br \/>HPV 16 and 18 are the high-risk viruses and cause 66% of cases of cervical cancer. The rest cause around 15 % cases.<br \/>Low-risk HPV viruses cause anal and genital warts.<\/p><p><strong>Who is to be vaccinated?<\/strong><br \/>HPV vaccination is indicated for girls between 9-26 years of age. Some clinicians also propose vaccination till 45 years of age.<\/p><p><strong>How many doses are to be given?<\/strong><\/p><ul><li><br \/>For girls between 9-14 years, 2 doses are indicated, one at 0 months, the other 6-12 months later.<\/li><li><br \/>For girls who receive the first dose on their 15 th birthday or later, 3 doses are required, at 0 months,2 months and 6 months.<\/li><li><br \/>For immunocompromised patients even less than 15 years,3 doses are needed.<\/li><\/ul><p><strong>Mode of administration?<\/strong><br \/>Intramuscular<\/p><p><strong>What are the side effects of HPV vaccines?<\/strong><br \/>The side effects are minor and cause fever, dizziness, nausea, mild pain in the upper arm at the site of injection.<\/p><p><strong>Are they indicated in pregnancy?<\/strong><br \/>No. However if inadvertently given to a pregnant lady, this is not an indication to terminate the pregnancy.<\/p><h4><em>Some pertinent questions:<\/em><\/h4><h4><br \/>If someone in the age group of 9-14 years gets 2 doses but less than 5 months apart do we need to give a third dose?<\/h4><p><em>YES<\/em><\/p><p><br \/>If someone is more than 15 years of age but vaccination was started at 11 years of age, are 2 doses needed or 3?<\/p><p><br \/>1 DOSE as the first dose of vaccination was initiated before the 15 th birthday.<\/p><p><br \/><strong>If the vaccination schedule was interrupted do all doses need to be repeated?<\/strong><br \/><em>NO<\/em><\/p><p><br \/><strong>Do we still need to screen for cervical cancer?<\/strong><br \/><em>YES<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7d72ff3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7d72ff3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9ba2542\" data-id=\"9ba2542\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc90e05 elementor-widget elementor-widget-image\" data-id=\"cc90e05\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"740\" height=\"466\" src=\"https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-1024x645.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-1024x645.png 1024w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-300x189.png 300w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-768x484.png 768w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-1536x968.png 1536w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-1000x630.png 1000w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-500x315.png 500w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1-1400x882.png 1400w, https:\/\/drshellysingh.com\/blog\/wp-content\/uploads\/2021\/12\/cervical-cancer-1.png 1920w\" sizes=\"auto, (max-width: 740px) 100vw, 740px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cancer cervix is the second most important cancer in India over the last two decades. Why must we know these figures? Because Cancer Cervix is rampant and a huge killer. It causes 23.5 % of all cancers in women in India.Globally age-adjusted incidence rates are 15.3\/100000. In India, this is 27\/100000. The incidence has reduced&#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/drshellysingh.com\/blog\/cancer-cervix\/\">Continue reading <span class=\"meta-nav\">&#8594;<\/span><\/a><\/span><\/p>\n","protected":false},"author":2,"featured_media":1602,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[],"class_list":["post-1599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-women-health"],"_links":{"self":[{"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/posts\/1599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/comments?post=1599"}],"version-history":[{"count":5,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/posts\/1599\/revisions"}],"predecessor-version":[{"id":1606,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/posts\/1599\/revisions\/1606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/media\/1602"}],"wp:attachment":[{"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/media?parent=1599"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/categories?post=1599"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drshellysingh.com\/blog\/wp-json\/wp\/v2\/tags?post=1599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}