RGCIRC Team

Cancer

20 January, 2026

January is observed globally as Cervical Cancer Awareness Month, an annual initiative aimed at increasing understanding of cervical cancer and encouraging timely preventive action. The observance draws attention to the fact that cervical cancer is one of the most preventable cancers, yet it continues to affect thousands of women every year, largely due to late detection and missed opportunities for follow-up care.

The purpose of Cervical Cancer Awareness Month goes beyond spreading information. It seeks to promote early screening, HPV vaccination, and continuity of care, while supporting global efforts to reduce and eventually eliminate cervical cancer as a public health concern. For women, families, and communities, it is a reminder that preventive healthcare choices can have a life-saving impact. To help you understand cervical cancer in detail, in this article, we’ll explain its risk factors, warning signs, and the critical role early screening and follow-up plays in its prevention. But first, let’s understand the basics.

What is Cervical Cancer and How Does it Develop?

Cervical cancer is a type of cancer that begins in the cells of the cervix, the lower part of the uterus that connects to the vagina. It usually develops slowly over time, starting with abnormal changes in the cervical cells rather than appearing suddenly as cancer.

In most cases, these early changes are known as precancerous lesions. At this stage, the cells are not cancerous but have the potential to become cancer if left untreated. This process can take several years, creating a long window during which the disease can be detected early and effectively prevented.

What makes cervical cancer particularly challenging is that these early cellular changes rarely cause symptoms. Women often feel completely well during this phase, which is why the disease may progress unnoticed without routine screening. If these abnormal cells are not identified and treated in time, they can gradually develop into invasive cervical cancer.

Common Causes and Risk Factors

Cervical cancer develops due to a combination of biological and lifestyle-related factors. Understanding these risk factors helps identify who may benefit most from regular screening and preventive care.

Key Causes and Risk Factors include:

  • Persistent HPV infection: Long-term infection with high-risk strains of the human papillomavirus (HPV) is the primary cause of most cervical cancer cases. While HPV infections are common, persistent infection increases the risk of abnormal cervical cell changes.
  • Early sexual activity or multiple partners: Early onset of sexual activity and having multiple sexual partners increase the likelihood of exposure to high-risk HPV strains, raising the risk of cervical cancer.
  • Smoking and weakened immunity: Smoking damages cervical cells and reduces the body’s ability to clear HPV infections. Similarly, conditions or treatments that weaken the immune system can make it harder to fight persistent infections.
  • Lack of regular Pap smear screening: Not undergoing routine cervical screening increases the risk of precancerous changes going undetected and untreated, allowing them to progress over time.

Having one or more risk factors does not mean a woman will develop cervical cancer. However, awareness of these factors highlights the importance of preventive measures, regular screening, and timely medical follow-up.

Symptoms Women Should Never Ignore

In its early stages, cervical cancer often causes no noticeable symptoms. This is why regular screening is essential. However, as the disease progresses, certain warning signs may appear and should never be ignored.

Symptoms that require medical attention include:

  • Abnormal vaginal bleeding, including bleeding between periods, after intercourse, or after menopause
  • Unusual vaginal discharge, especially if it is persistent, foul-smelling, or blood-stained
  • Pelvic pain or discomfort, particularly if it is ongoing or occurs during intercourse
  • Pain during sexual intercourse

These symptoms can be caused by conditions other than cervical cancer, but they should always be evaluated by a doctor. Seeking medical advice promptly helps ensure early diagnosis and appropriate care, improving outcomes and reducing the risk of complications.

Who Should Get Screened and When

Regular cervical cancer screening is recommended for women between the ages of 21 and 65, even in the absence of symptoms. Screening schedules and the type of test advised may vary based on age, individual risk factors, and a doctor’s recommendation. Regular screening plays a critical role in identifying early cellular changes, allowing timely intervention before they progress to cervical cancer.

Recommended Screening Tests

Women should be aware of the following screening options:

  • PAP test: Detects abnormal changes in cervical cells and is generally recommended at intervals advised by a doctor, commonly every three years in appropriate age groups.
  • HPV DNA test: Identifies high-risk strains of the human papillomavirus and is commonly used as a primary or co-testing tool, especially in women aged 30 years and above, as advised by a doctor.

Both tests are simple, quick, and widely available through gynaecologists and healthcare centres.

Why Routine Screening Matters

  • Cervical cancer often has no symptoms in its early stages.
  • Feeling healthy does not rule out underlying cellular changes.
  • Early detection allows for simple, effective treatment before cancer develops.

Regular screening remains one of the most effective ways to reduce the risk of cervical cancer and improve long-term outcomes. It is important to note that early cervical cancer often does not cause any symptoms, which is why regular screening is essential even when women feel healthy.

The Follow-Up Gap: The Missing Link in Cervical Cancer Prevention

Screening is only the first step in preventing cervical cancer. Its true value lies in what happens after the test results are received. When abnormal findings are not followed up with timely evaluation and treatment, early warning signs can be missed, allowing a largely preventable disease to progress silently.

What an Abnormal Result Means

An abnormal Pap smear or HPV test does not mean cancer and, in many cases, may only require repeat testing, monitoring, or simple treatment as advised by a doctor. It usually indicates early cellular changes in the cervix that need further evaluation, close monitoring, or simple treatment to prevent progression to cancer.

Why Follow-Up is Often Missed

Many women delay or skip follow-up care due to fear or anxiety about the results, misunderstanding the seriousness of abnormal findings, competing family or work responsibilities, or the assumption that symptoms will appear if the condition worsens. These gaps in continuity of care weaken the purpose of screening.

Why Timely Follow-Up is Critical

If left untreated, abnormal cervical cells can gradually progress to cancer over time. When detected early, treatment is usually straightforward and highly effective. Delays, however, allow a preventable condition to advance to more complex and serious stages. Completing the full screening and follow-up pathway is therefore essential to truly reduce cervical cancer risk.

How Can Cervical Cancer Be Prevented?

Cervical cancer is one of the most preventable cancers when preventive measures are followed consistently. Prevention focuses on stopping the disease before cancer develops, rather than treating it at a later stage. Key ways to prevent cervical cancer include:

1. HPV Vaccination

The Human Papillomavirus (HPV) is responsible for most cases of cervical cancer, and vaccination provides strong protection against the high-risk HPV types most commonly linked to the disease. The vaccine is recommended for both girls and boys, ideally between 9 and 14 years of age, before exposure to HPV. It can also be given at later ages based on individual risk assessment and doctor’s advice. By preventing HPV infection in the first place, the vaccine significantly reduces the risk of developing cervical cancer later in life.

2. Regular Cervical Screening

Screening tests such as the Pap smear and HPV test help identify abnormal cervical cells at an early, treatable stage. When these changes are detected and managed in time, the development of cervical cancer can often be prevented. Adhering to recommended screening schedules and follow-up is essential.

3. Safe Sexual Practices

Practising safe sex can reduce exposure to HPV and other infections that increase cervical cancer risk. Using protection and being aware of symptoms that need medical evaluation contribute to lowering the chances of persistent HPV infection.

4. Early Treatment of Precancerous Changes

If screening shows abnormal cells, early treatment can remove or destroy these cells before they turn cancerous. Regular monitoring after treatment ensures that the cervix remains healthy and any recurrence is picked up early.

5. Awareness and Routine Gynaecological Care

Regular visits to a gynaecologist, even in the absence of symptoms, help maintain cervical health. Being aware of warning signs such as abnormal vaginal bleeding, unusual discharge, or pelvic pain and seeking prompt medical advice can further support early detection and prevention.

From Awareness to Action: Overcoming Barriers to Screening and Follow-Up

Despite clear guidelines and available services, many women delay or avoid cervical cancer screening and follow-up care. Cervical Cancer Awareness Month highlights the need to address these barriers and encourage timely action.

Common Barriers Women Face

  • Hesitation or fear around gynaecological examinations
  • Lack of awareness about the importance of routine screening
  • Prioritising family and work responsibilities over personal health
  • Misconceptions that screening is unnecessary without symptoms

How These Barriers Can Be Addressed

  • Open conversations around women’s health and preventive care
  • Clear counselling from healthcare providers on test results and next steps
  • Family support that encourages women to seek and complete care
  • Using awareness campaigns as reminders to schedule screening appointments

Awareness must lead to action. Removing practical and emotional barriers to screening and follow-up is essential to reducing preventable cervical cancer cases.

How You Can Contribute This Cervical Cancer Awareness Month

Cervical Cancer Awareness Month is not only about information, but also about collective responsibility. Small, meaningful actions can help extend the impact of awareness efforts and encourage more women to seek preventive care.

Here’s how individuals and families can support the cause:

  • Encourage screening: Talk openly with women in your family and social circle about the importance of regular cervical cancer screening, even when there are no symptoms.
  • Support follow-up care: Help women attend follow-up appointments after screening, particularly if results require further evaluation.
  • Promote vaccination: Share accurate information about HPV vaccination and encourage eligible individuals to discuss it with their doctor.
  • Normalise conversations: Help reduce stigma and hesitation by treating cervical health as a routine part of women’s wellbeing.
  • Use awareness platforms responsibly: Share credible information from healthcare institutions during the awareness month to amplify evidence-based messages.

By taking these steps, individuals and families can play an active role in turning awareness into prevention and ensuring that more women benefit from early detection and timely care.

Taking the Next Step Towards Prevention

Cervical Cancer Awareness Month is a timely reminder that cervical cancer is largely preventable when the right preventive steps are taken and followed consistently. It encourages women to be proactive about their health by opting for regular screening, considering HPV vaccination where appropriate, and ensuring timely follow-up for any abnormal findings.

Women seeking reliable guidance on screening, vaccination, and continuity of care can consult the specialists at RGCIRC, where dedicated preventive oncology services focus on early diagnosis, personalised counselling, and timely intervention to safeguard long-term women’s health.

About RGCIRC

RGCIRC (Rajiv Gandhi Cancer Institute & Research Centre), Delhi, is one of India’s leading institutions dedicated exclusively to cancer care, prevention, and research. The institute offers comprehensive oncology services across medical, surgical, and radiation oncology, supported by advanced diagnostic facilities and a multidisciplinary approach to treatment.

Alongside clinical care, RGCIRC is actively engaged in cancer research, academic programmes, and preventive oncology initiatives aimed at improving early detection and treatment outcomes. Through its continued emphasis on research-driven care, community awareness, and evidence-based practices, the institute plays an important role in addressing the growing cancer burden in India.

Frequently Asked Questions (FAQs)

 

Q: When is Cervical Cancer Awareness Month observed?

Cervical Cancer Awareness Month is observed every year in January. It aims to increase awareness about prevention, early screening, HPV vaccination, and timely follow-up care to reduce the burden of cervical cancer.

Q: What causes cervical cancer?

Cervical cancer is primarily caused by persistent infection with high-risk strains of the human papillomavirus (HPV). Over time, this infection can lead to abnormal changes in cervical cells, which may progress to cancer if left untreated.

Q: Is cervical cancer preventable?

Yes. Cervical cancer is one of the most preventable cancers. Regular screening, HPV vaccination, and timely treatment of abnormal cells can prevent most cases from developing.

Q: What is the role of HPV in cervical cancer?

HPV is the main cause of cervical cancer. While many HPV infections clear on their own, persistent infection with certain high-risk strains can cause precancerous changes that may develop into cervical cancer over time.

Q: How often should women get a Pap smear?

Women aged 21 to 65 years are generally advised to get a Pap smear every three years, unless their doctor recommends a different schedule based on individual risk factors.

Q: Is the HPV vaccine safe and effective?

Yes. The HPV vaccine is considered safe and effective and helps protect against the most common cancer-causing HPV strains. It works best when given early but can still offer benefits later, as advised by a doctor.

Q: Can cervical cancer be cured if detected early?

When detected at an early stage, cervical cancer is highly treatable, with better outcomes and a higher chance of long-term survival. Early detection through screening plays a key role in successful treatment.

Q: What treatment options are available at RGCIRC?

At RGCIRC, cervical cancer care includes early diagnostic evaluation, stage-based treatment planning, and comprehensive treatment options such as surgery, radiation therapy, and chemotherapy, delivered by a multidisciplinary oncology team.

Q: How can families support women’s cervical health?

Families can support women by encouraging regular screening, supporting follow-up appointments, promoting HPV vaccination, and helping reduce fear or hesitation around seeking preventive healthcare.

Q: Are Pap smear tests painful?

A Pap smear is usually quick and causes minimal discomfort. Some women may feel mild pressure, but it is generally not painful and lasts only a few minutes.

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