In its early stages, cervical abnormalities typically do not present any symptoms. This asymptomatic nature underscores the importance of regular cervical screening tests. When advanced, symptoms may include abnormal vaginal bleeding, pelvic pain, pain during intercourse, and unusual discharge.
Diagnosis of cervical abnormalities is primarily achieved through cervical screening tests (CST), which can identify presence of HPV infection and /or abnormal cervical cells. The point of cervical screening program is to continue monitoring while HPV is present to monitor for the abnormal cell changes. To further investigate for abnormal cell changes, a colposcopy examination can be done in the clinic. If abnormal cell changes are confirmed, it can be treated before it has a chance to develop into cancer, thus preventing cervical cancer altogether.
The treatment for cervical abnormalities depends on several factors, including the severity of the abnormality, the presence of HPV, age, and desire to preserve fertility. Options include:
Prevention of cervical abnormalities primarily revolves around regular screening and HPV vaccination. The Australian government recommends that all women aged 25 to 74 years participate in the National Cervical Screening Program by undergoing routine screening with HPV test every five years. The HPV vaccination is offered free to students in the first years of high school under the National Immunisation Program.
Educating the public about the importance of these preventive measures, alongside promoting safe sexual practices, can further reduce the incidence of HPV infections and subsequent cervical abnormalities. Healthcare providers play a pivotal role in raising awareness and encouraging participation in screening and vaccination programs.
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