Sarah's Health Notes: Know the signs of gynae cancers

One of my closest friends was recently diagnosed with ovarian cancer. Luckily, it was diagnosed, treated by expert oncologists and we’ve just had a celebration because she is cancer-free. That’s wonderful but it made me realise how important it is to know more about this group of gynaecological cancers – ovarian, cervical, uterine (womb), vaginal and vulval – which account for thousands of cases every year in the UK.

Early detection can significantly improve survival rates and consultant gynaecologist Miss Smita Sinha (below) is part of a nationwide effort to raise awareness of the key signs and symptoms to look out for.

She says: ‘It’s important that we have open conversations about these cancers, not only to reduce the stigma but to help women recognise the symptoms before it’s too late. Women often delay seeking help because they don’t realise the importance of their symptoms, or they fear embarrassment. My message is simple: know your normal, trust your instincts, and if something doesn't feel right, don’t hesitate to see your doctor.’

Five Key Signs and Symptoms to Look Out for:

• Abnormal vaginal bleeding – particularly after menopause, between periods, or after sex. While this can sometimes be harmless, it is one of the key indicators of several gynaecological cancers. Unexpected discharge is also something to be aware of. 

• Persistent bloating – consistent bloating that lasts for more than a few weeks can be a warning sign and warrants medical attention. 

ª Changes in vulval skin – including persistent itching or soreness, or noticeable lumps or changes in the colour or thickness of the skin, which could be a sign of vulval cancer. Know your normal and self-examine regularly. 

• Pelvic, lower back or abdominal pain – persistent or unexplained discomfort in these areas should never be ignored. 

• Changes in bowel or bladder habits – such as frequent urination, difficulty going to the toilet, or constipation, particularly if these changes are on-going. Pain when passing urine or blood in the urine also shouldn’t be ignored. 

These symptoms aren’t only linked to gynae cancers but do go and see your doctor if you notice anything unusual.