Human papillomavirus (HPV) is a group of more than 200 types of related viruses. More than 40 types of these viruses can infect the genital area of men and women. HPV types are often classified into “low-risk” (wart-causing) or “high-risk” (cancer-causing).
HPV infection is commonly spread during vaginal or anal sex. Most people infected with HPV are asymptomatic and will clear the infection on their own. For a minority of cases, the virus is not cleared by the immune system and can cause serious health problems, such as genital warts. Also persistent high-risk HPV infection of the cervix can develop pre-cancerous cell changes. While the majority of these changes will regress to normal, some may gradually progress to cervical cancer over the years.
What is cervical screening test?
There are two screening tests that can help detect cell changes in the cervix at an early stage:
- The Pap smear
- The HPV test
The abnormal cells might become cervical cancer if they are not treated appropriately.
To perform a Pap smear test, the doctor inserts a speculum into your vagina and collects a few cell samples from the cervix. These cells are then transferred to a glass slide, or solution in a bottle and sent to a laboratory for examination. If your doctor uses liquid-based cytology, the same sample can be used for HPV DNA testing as well.
Over 99% of cervical cancers are caused by HPV infection. Risk factors for cervical cancer include:
- Sex at an early age
- Having multiple sexual partners, or the sexual partner with multiple sexual partners
- History of sexually-transmitted diseases
- Weakened immunity
- Using birth control pills for a long time (five or more years)
- Having given birth to three or more children and younger age at first full-term pregnancy
Cervical cancer is often asymptomatic at an early stage. Advanced cervical cancer may present the following symptoms：
Treatment for cervical cancer depends on the stage of the disease. Pre-cancerous cells can be removed simply by using a number of different treatments – the majority of which can be performed in an outpatient clinic, i.e. LEEP. For cases where cancer is present, the following treatment options may be applied: removal of the womb (hysterectomy), radiotherapy and chemotherapy. Cancer of the cervix is highly treatable, if it is detected and treated early. The 5-year survival rate for patients with early stage of cervical cancer is above 85%.
The above information was copied from the Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong.
HPV SELF-SAMPLING – Cervical Cancer & HPV: http://www.cuhk.edu.hk/sphpc/hpvselfsampling/en/cc-n-hpv.html