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Warning-sign checks

Cervical cancer: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency care is appropriate for uncontrolled bleeding, fainting, sudden chest pain, severe shortness of breath, or a painful and rapidly swollen leg.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the care team promptly about new vaginal bleeding, persistent pelvic or back pain, new leg swelling, unexplained weight loss, worsening bowel or bladder problems, or a cough that does not improve.

    These symptoms do not always mean the cancer has returned, but they should be assessed.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up after cervical cancer treatment looks for recurrence, manages lasting side effects, and supports general health.

    The schedule depends on the stage, treatment, symptoms, and time since therapy.

    Visits are usually more frequent at first and become less frequent over time.

    A follow-up visit may include a symptom review and examination.

    Cervical or vaginal testing and imaging are used when appropriate, but they are not needed at every visit for every person.

    Ask for a written survivorship care plan explaining the follow-up schedule, which clinician is responsible, and what symptoms to report.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

Continue other recommended preventive care.

People treated for cervical precancer or cancer may need longer or different cervical surveillance than those at average risk.

Do not stop screening based only on age without discussing the treatment history with a clinician.

Every sign above is quoted from the sofidex article on Cervical cancer. If you are not sure, err upward — it is always reasonable to be checked.