Tag: cervical cancer

NHS Lothian pioneers new treatment for patients with cervical cancer

New equipment is helping NHS Lothian to provide “first class treatment” to cervical cancer patients in the South East of Scotland. 

Cervical cancer is the most common cancer in women under 35 and around eight women are diagnosed with cervical cancer each day in the UK.

The new brachytherapy kit, from Elekta, allows the delivery of a high dose of radiation directly into the tumour and minimises damage to the surrounding healthy tissue. 

Brachytherapy is a form of internal radiation therapy which targets the cancer directly.

Dr Mark Zahra, Consultant Clinical Oncologist & Clinical Lead for Radiotherapy at Edinburgh’s Cancer Centre, said: “This kit will help us to continue to provide first class treatment to patients with cervical cancer. 

“It gives us more options than our previous brachytherapy equipment as it can treat larger tumours and expand the dose of radiation to the tumour, whilst protecting the normal organs.

“The Elekta kit is used alongside image-guided technology to really tailor treatment to the patient’s anatomy and needs and minimise the long-term health effects of radiotherapy.

“Together we expect these technologies to have a real impact on patients’ cure rates and comfort.”

Edinburgh Cancer Centre has used image-guided brachytherapy for gynaecological cancers for over 10 years and is the first in Scotland to use Elekta technology. The technology will now be routinely used for all eligible patients in the South East of Scotland with gynaecological cancers. 

Dr Zahra continued: “Edinburgh Cancer Centre is a leader in innovative treatments and progress such as this could not have been possible without a huge team effort. 

“We strive to provide the best possible care we can and share our research and learning to help improve outcomes for patients everywhere.”

Over 99% of cervical cancers are caused by HPV. HPV is very common and four out of five people in Scotland will have it at some point in their lives. 

HPV vaccines are offered to all S1 pupils and can prevent around 75% of cervical cancer cases. Alongside the vaccine, it’s vital to attend cervical screenings (smear tests) when invited. 

Gynaecologist reveals her top 10 tips for making pap smears more comfortable

 Expert advice released for Cervical Cancer Prevention Week 

Cervical Cancer Prevention Week (17th – 23rd) aims to raise awareness of the importance of regular smear tests to help prevent cervical cancer, as there are over 3,000 new cases of each year.

Pap smears are one of the best ways to detect cervical cancer, however, the pandemic has seen less people attend their appointment, which could potentially have life-changing impacts.

To encourage people to get their pap smear, intimate wellbeing brand INTIMINA’s in-house gynaecologist, Dr Shree Datta, shares her top tips on how to make your pap smear test more comfortable.

  1. Time your appointment around your period

If you have painful or heavy periods, having a smear test during your period may be more uncomfortable, so it’s worth considering booking a test when you’re not scheduled to be on your period. Additionally, heavy bleeding can affect your smear test results and we may not be able to see your cervix clearly, so you may have to have the smear repeated. It can be normal to bleed after a smear, but if you experience bleeding after sex or in between periods, do tell your doctor.

  1. Make sure you’re comfortable with your doctor 

It’s important to feel relaxed, so make sure you are comfortable with the person who is taking your smear. Tell your doctor beforehand if you have had problems with examinations previously or if this is your first smear test. Remember, your doctor has taken many smears before so there is no need to feel embarrassed, or worry about the type of underwear you are wearing. As a gynaecologist, I don’t notice whether you have shaved your legs, I’m simply glad you have attended your smear test given it’s an important health check. 

  1. Don’t rush 

Make sure you’re not in a hurry, as this can make you feel more tense. Try to schedule enough time for your appointment so you don’t feel rushed. 

  1. Wear something comfortable

It’s more convenient to have a smear taken when wearing a skirt or a dress, as you only need to take off your underwear and you may feel less self conscious.

  1. Ask for a small speculum to be used with lubricant

It’s worth asking for a small speculum with lubricant applied before it’s inserted into your vagina, as this reduces the uncomfortable sensation of stretching when we take a smear. However, be aware that we may need to change the speculum size if we cannot get a clear view of your cervix using a small speculum because this may otherwise impact on the quality of the smear obtained and you may need to get it repeated. Getting a clear view of your cervix at the time of the smear taking enables us to inspect the cervix as well as taking a full smear so we can visualise any abnormalities.

  1. Change your position during smear taking

Some people find lying flat on their back for smear-taking very uncomfortable and we may not always get good views. An alternative position may be sitting on a gynaecologist couch or popping your fists under your bottom to tilt your cervix forward. If your doctor has had problems visualising or obtaining a smear previously let the person taking your smear know this, so we can prepare accordingly.

  1. Focus on your breathing 

Use deep breathing techniques during your smear test to relax your pelvic muscles so that we can obtain a full smear. 

  1. Empty your bladder

Going to the toilet to empty your bladder before your appointment may also be helpful to help you feel more relaxed. 

  1. Consider taking  pain relief beforehand

Consider taking some pain relief half an hour to an hour before your smear test if you find it uncomfortable. 

  1. Bring a friend or family member

Previously you may have been able to bring a friend to your appointment to talk to you whilst you have a smear taken, check if you are able to do so but please note that  this option may not be available due to COVID-19 currently.

INTIMINA’s UK Marketing and Communications Manager Marcella Zanchi said: “As an intimate wellbeing brand, we hope that with the help of Dr Shree, we can reassure and encourage women to get their pap smear test and feel comfortable and confident to do so.”

A third of women consider HPV a taboo topic

Lothian MSP Miles Briggs is supporting Jo’s Cervical Cancer Trust to tackle the myths and stigma around the common virus Human papillomavirus, HPV, and get the facts out.

This year, Scotland’s cervical screening programme is moving to test for HPV first, a far more sensitive test that will save lives but also means many more women will be told they have HPV. Jo’s Cervical Cancer Trust ran its #SmearForSmear campaign during Cervical Cancer Prevention Week last month (20-26 January) to tackle the misconceptions about the virus.

In the majority of cases, HPV infection goes away without doing the body any harm. However, sometimes it causes cells to change which, if not treated, could develop into cervical cancer. Testing for HPV is a far more accurate test estimated to prevent almost 500 diagnoses of cervical cancer every year in the UK.

Lothian MSP Miles Briggs and the UK’s cervical cancer charity want as many people as possible to understand the importance of cervical screening and to feel informed and comfortable when they get their results.

New research conducted by Jo’s Cervical Cancer Trust has found a third of women consider HPV a taboo topic and would not want anyone to know if they had it.

A quarter haven’t heard of HPV and one in five would feel embarrassed if they were told they had the virus. Calls to the charity’s Helpline about HPV have already risen 50% over the past year. It is expecting this to significantly rise as more women are tested for HPV and is calling on health professionals to be prepared for increases in questions from patients and encouraging open conversation.

Miles Briggs, Lothian MSP, said: “It is concerning that one in three women consider HPV to be a taboo topic and this risks putting women off being screened.

“Jo’s Cervical Cancer Trust are doing excellent work to correct the myths around HPV and get the facts straight and encouraging more women to be screened.

“It is better to be safe and screening for the virus shouldn’t be something for women to be embarrassed about.”

Robert Music, Chief Executive, Jo’s Cervical Cancer Trust said: “HPV can be confusing but it is nothing to be ashamed of. 80% of us will get at least one type of HPV in our lives and in most cases the immune system will get rid of the infection without it causing any harm.

“We need to get the facts out about HPV and get rid of harmful myths and stigma around this really common virus.”