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Q&A about pregnancy complicated with cervical cancer

Updated: 2020-05-14


1. What are the symptoms of pregnancy complicated by cervical cancer?

The symptoms of cervical cancer in pregnancy are the same as those in non-pregnancy. Occasional or posterior vaginal bleeding is common in early pregnancy complicated with cervical cancer. Because it occurs during pregnancy, it is often misdiagnosed as a threatened abortion, placenta previa, placental abruption, premature delivery or cervical dilatation.

At this time, pregnant mothers avoid taking vaginal examination for fear of abortion, so they are more likely to cause misdiagnosis. With the further development of the cancer, vaginal secretions may increase and vaginal bleeding may not be exhaustive. Late development may result in symptoms of pain in the lower back or lateral thighs.

2. Can pregnant women with cervical cancer and only choose induced labor?

Whether a pregnant woman can fight cancer with her fetus or not cannot be generalized. Doctors will develop an individualized program based on many factors, such as the stage of the tumor, the different pregnancy stages, the presence or absence of lymph node metastasis and the wishes of the patient and her family. Management of cervical cancer during pregnancy is not limited to induction of labor. Therefore, talking actively to your doctor is the right thing to do.

3. Can cervical cancer spread to babies?

The probability is low. Because the placenta has a strong filtering effect, the vast majority of substances that hinder the healthy development of the fetus will be excluded.

4. How is cervical cancer diagnosed?

There are no obvious symptoms in the early stages of a pregnancy complicated with cervical cancer and the diagnosis needs to be assisted by cytology, HPV screening and other methods.

Screening for cervical cancer during pregnancy is safe and reliable, which is very important to improve the early diagnosis for a pregnancy complicated by cervical cancer. If cervical cancer screening is not performed before pregnancy, then around 14 weeks into the second trimester is also the best time to receive cervical cancer screening.

5. Can cervical cancer be detected in advance?

The detection of cervical cancer during pregnancy will be very passive, so women of childbearing age should raise awareness of their need for screening of cervical cancer and be actively screened before pregnancy. Especially after the symptoms of vaginal hemorrhage, increased vaginal discharge or cervical contact hemorrhage are found, patients should seek medical treatment as soon as possible and be highly alert to possible cervical carcinogenesis.

In conclusion, pre-pregnancy screening is the most important factor. If no screening is performed before pregnancy, cervical cancer can be screened at 14 weeks of gestation. Once cervical cancer is found, doctors will take comprehensive treatment measures according to the patient's fertility needs, disease development and the number of gestational weeks.