Cervical cancer: Screening

“What a thoughtful way to commemorate your late aunt. May her soul rest in peace. Thank you for sharing such an informative piece. I’ve gained so much insight on cervical cancer. I feel informed and empowered to take preventative measures to protect my cervix.” – An EPIFEM Queen

Your heartfelt responses from the last newsletter touched me deeply. I must admit, writing about my aunt also brought tears to my eyes. I’m sorry if I caused a little fear, but I am so fulfilled knowing that together, we are breaking the silence and gaining the confidence to face health matters head-on.

Remember: Just as you confidently discuss finances, fashion, and events, include your health too because without health, everything else becomes harder to enjoy.

Cervical Cancer Series (Part 2) – Screening

This week, we focus on cervical cancer screening ,the proactive step that keeps us ahead of this devastating disease.

Why it matters

Cervical cancer is caused by high-risk types of the Human Papilloma Virus (HPV). Most infections clear naturally within 3–5 years, but if persistent, progression to cancer can take 10–15 years. Screening aims to detect the virus or abnormal cell changes early, allowing timely treatment before cancer develops.

Screening Tools – Recommended by World Health Organisation

1. HPV DNA Testing

– Detects high-risk HPV strains directly. It has High sensitivity & specificity. It is the Preferred test worldwide.

2.Cytology (Pap Smear )

– Detects abnormal cervical cells. Still widely and most accessible in most health centre services . Lower sensitivity but good specificity.

Both tests are done the same way; what differs is the request made to the laboratory.

Screening Schedule

• For General Population – target is for Women aged 25-65

First test at 25 years

– For HPV DNA test , it’s recommended to do the test every 5 years OR

Pap smear every 3 years – if tests are normal

It is recommended that by age 45 , you should have done at least 2 tests

No further testing if over 65 and last 2 tests were normal

• For Women Living with HIV:

Start at 21 years

HPV DNA test every 5 years OR

Pap smear annually (if normal)

❓ Frequently Asked Questions

• I’m a virgin, should I still test? No, HPV is sexually transmitted.
• What if I’m on my period? Please reschedule; we need a clear sample.
• Can I have sex before the test? Yes, it won’t interfere.
• Is the test painful? No, but it may feel uncomfortable. It takes only 3–5 minutes using a speculum to access the cervix, then a brush is used to collect cells.

I’m thrilled that you stayed with me to the end of this newsletter! My hope is that you now feel calmer, informed, and more confident for your next OBGYN visit.

Please continue to share your experiences and questions, they empower not just you, but all of us.

When we revisit this series again , we’ll look at what happens if screening results are abnormal, signs of cervical cancer, and available treatments.

Stay empowered. Stay informed. Stay unstoppable, EPIFEM QUEEN.

Your health is your wealth.

With love,

Dr. Nshali