Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

We have a shot at preventing cervical cancer

Lisa N. Abaid, MD, MPH
Meds
January 25, 2019
Share
Tweet
Share

Many people think eradicating cancer is unattainable. But for cervical cancer, we are well on our way to doing just that.

Cervical cancer was once the leading cause of death in women in the U.S. But we are on the cusp of vanquishing this disease thanks to regular pap screening and a vaccine that protects women and men from developing the human papilloma virus (HPV), the cause of nearly all cervical cancers.

In fact, over the last 40 years, the number of new cases and deaths from cervical cancers has plummeted. We are in the midst of Cervical Health Awareness Month, and you’ll likely be reading and hearing many news reports about how the disease that once claimed the lives of more women than any other disease is now largely preventable.

But an important element to the story of cervical cancer is that it is up to all of us to do the work of prevention. The FDA recently expanded approval of the HPV vaccine to include men and women ages 27 to 45.

The expanded age range for HPV vaccination is a great opportunity to prevent HPV infection and transmission in a larger proportion of the population.  This will continue to move us closer to the goal of eradicating HPV infections and the cancers which result from them.

While expanding the vaccine to adults will go a long way to helping prevent HPV and cancer, the most effective time to vaccinate is well before a person becomes sexually active, usually around age 11 and 12.

Talking about sex with a pre-teen is hard enough, preparing for the fact that one day your child will be a sexually active adult can be terrifying. Pediatricians tell me that many parents believe that vaccinating their children against an STD will somehow encourage sexual behavior. While pediatricians in the community are doing a good job educating parents, the idea of vaccinating against an STD still doesn’t sit well with parents.

What is important to remember is that the vaccine isn’t a license to have sex, it is a protection against a very common and sometimes fatal disease later in your child’s life.

Some pediatricians have told me that parents will ask whether their children can wait until they are in their early 20s to be vaccinated. The short answer is, “Please don’t.” Younger children have a more robust immune response. In expanding the age range for the vaccine, the FDA noted that the vaccine is 88 percent effective in people over the age of 26, and 90 percent effective for younger people.

Parents also ask whether boys need to be vaccinated since they are not at risk of developing cervical cancer. To protect against the spread of HPV, both boys and girls should be vaccinated. Also, HPV increases the risk of cancers that do affect men, including penile, anal, and throat cancers.

Even if a woman and her partner have been vaccinated, she can still reduce her risk of developing cervical cancer by undergoing routine pelvic exams, including pap smears. If a pap smear is abnormal, meaning there is some evidence of cancerous or pre-cancerous cells, a gynecologic oncologist, in collaboration with a woman’s gynecologist, can provide the appropriate monitoring or procedure to reduce the likelihood of cervical cancer from developing.

As excellent as cancer treatments are these days, no treatment in the world can outperform prevention. And what we’ve learned from the past ten years is that the HPV vaccines, if delivered effectively, should be able to eradicate HPV-related diseases in our children’s lifetime.

No, we haven’t cured cervical cancer. But with the vaccine, we have a shot at preventing it.

ADVERTISEMENT

Lisa N. Abaid is a gynecologic oncologist and co-director, Hoag Breast & Ovarian Cancer Prevention Program, Hoag Memorial Hospital Presbyterian, Newport Beach, CA.

Image credit: Shutterstock.com

Prev

MOC: When you play the game and they change the rules

January 25, 2019 Kevin 11
…
Next

How customer service breeds bad medicine

January 25, 2019 Kevin 10
…

Tagged as: OB/GYN

Post navigation

< Previous Post
MOC: When you play the game and they change the rules
Next Post >
How customer service breeds bad medicine

ADVERTISEMENT

More by Lisa N. Abaid, MD, MPH

  • Cervical cancer guidelines leaves women confused about annual pelvic exams

    Lisa N. Abaid, MD, MPH

Related Posts

  • Hormone replacement therapy is still linked to cancer

    Martha Rosenberg
  • Using the Avengers to explain how cancer treatments work

    Jennifer Lycette, MD
  • Cancer patients who want to take unproven supplements

    Marc Braunstein, MD, PhD
  • Obstruction of medical justice: How health care fails patients with cancer

    Miriam A. Knoll, MD
  • Despite progress in cancer care, cost and equity challenges still must be addressed

    David M. Aboulafia, MD
  • Is social media a friend or foe of science?

    Michael Joyce, MD

More in Meds

  • Pharmacy benefit manager reform vs. direct drug plans

    Leah M. Howard, JD
  • A cautionary tale about pramipexole

    Anonymous
  • My persistent adverse reaction to an SSRI

    Scott McLean
  • Tofacitinib: a lesson in heart-immune health

    Larry Kaskel, MD
  • The case for regulating, not banning, kratom

    Heidi Sykora, DNP, RN
  • How India-Pakistan tensions could break America’s generic drug pipeline

    Adwait Chafale
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Reimagining medical education for the 21st century [PODCAST]

      The Podcast by KevinMD | Podcast
    • A pediatrician’s reckoning with behavior therapy

      Ronald L. Lindsay, MD | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • The hidden epidemic of orthorexia nervosa

      Sally Daganzo, MD | Conditions
    • A question about maternal health and the rise in autism [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why early diagnosis of memory loss is crucial

      Scott Tzorfas, MD | Conditions
    • Rethinking stimulants for ADHD

      Carrie Friedman, NP | Conditions
    • Why young people need to care about bone health now

      Surgical Fitness Research Pod & Yoshihiro Katsuura, MD | Conditions
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Reimagining medical education for the 21st century [PODCAST]

      The Podcast by KevinMD | Podcast
    • A pediatrician’s reckoning with behavior therapy

      Ronald L. Lindsay, MD | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • The hidden epidemic of orthorexia nervosa

      Sally Daganzo, MD | Conditions
    • A question about maternal health and the rise in autism [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why early diagnosis of memory loss is crucial

      Scott Tzorfas, MD | Conditions
    • Rethinking stimulants for ADHD

      Carrie Friedman, NP | Conditions
    • Why young people need to care about bone health now

      Surgical Fitness Research Pod & Yoshihiro Katsuura, MD | Conditions
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

We have a shot at preventing cervical cancer
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...