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September is Gynaecological Cancer Awareness Month, which sees charities joining together to put the spotlight on the range of cancers that start in the female reproductive system. There are five main types of gynaecological cancer – cervical, ovarian, vaginal, vulvar and uterine (or womb) – plus fallopian tube cancer, although this is very rare. Around 22,000 women are diagnosed with a gynaecological cancer each year in the UK, of which 21 die every day, according to charity The Eve Appeal. However, some of these cases are preventable, and with the right treatment, many gynaecological cancers have high survival rates. Here, experts answer some key questions about the prevention and treatment of gynaecological cancers. What are the symptoms of gynaecological cancers? “The symptoms of gynaecological cancers can vary,” says gynaecologist Oudai Ali from New Victoria Hospital. “But some common signs to watch out for include abnormal vaginal bleeding, pelvic pain or discomfort, unusual vaginal discharge, new vulval lump or ulcer and changes in urinary or bowel habits.” If you’ve noticed any of these signs, follow the ‘if in doubt, check it out’ rule, Ali says: “It’s crucial for patients to consult their GP if they experience any of these symptoms, as early detection can significantly improve treatment outcomes.” Severe ongoing bloating and feeling full very quickly, unintentional weight loss and fatigue are also indications it’s a good idea to get things checked out. Are regular screenings important for gynaecological health? Routine screening programmes are not available for all types of gynaecological cancer. However, where they are available – such as cervical smear tests – attending screenings can be life-saving. “Regular screenings, such as smear tests and HPV (human papillomavirus) tests, are vital for the early detection of cervical cancer and can prevent it at its pre-cancer stage,” says Ali. “Additionally, it’s important for individuals to discuss family history and risk factors with their healthcare provider to determine which screenings are appropriate.” Research shows that cervical cancer risks are higher for people who don’t attend screenings. “Cervical cancer risk is estimated to be 1.7% among women in the UK who don’t attend screenings,” says Mr Andrew Pooley, consultant gynaecologist at New Victoria Hospital. “Other risk factors are related to a higher exposure to HPV, the use of the contraceptive pill for over 10 years, or a weak immune system.” Ali adds: “The age to start screening can vary depending on the type of cancer and a patient’s individual risk factors. Pap smears typically start around age 25.” For cancers where there isn’t a national screening programme, your GP can refer you for blood tests and scans if you are concerned about symptoms. Can gynaecological cancers be prevented? While not all gynaecological cancers can be prevented, there are steps you can take that in some cases may help reduce your risk. “Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding tobacco, can help,” Ali says. “The HPV vaccine is a powerful tool in preventing certain gynaecological cancers. It protects against several strains of HPV that can lead to cervical, vaginal, and vulvar cancers. It’s recommended for both boys and girls, ideally before they become sexually active, to provide the greatest protection.” Some gynaecological cancers can have a hereditary component, too. “A family history of bowel, breast or ovarian cancer may increase the risk,” Ali explains, which is why it’s important to discuss family medical history at screenings. “They can assess the risk accurately and recommend appropriate screenings or genetic testing if necessary.” This said, anyone can potentially get cancer, so getting any symptoms checked as soon as possible is always key. What are the available treatment options for gynaecological cancers? Treatment options vary depending on the type and stage (from one to four) of cancer. “They may include surgery, chemotherapy, radiation therapy, hormone therapy, targeted therapy, or a combination of these treatments,” says Ali. “The choice of treatment is personalised to each patient’s specific diagnosis and medical history.” Survival rates for the main five gynaecological cancers when diagnosed at stage one range from 75%-95% according to Cancer Research, which further highlights the importance of early detection. New Victoria Hospital has launched its Community Champion Campaign, which will offer free scans and treatment to people across the UK for the sum of £125,000. To apply visit: newvictoria.co.uk/communitychampioninitiative. 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You may have noticed someone close to you changing – perhaps they are more forgetful, not quite themselves. After a quick search online or a chat with family members or friends, you may be left thinking they’re developing Alzheimer’s. But how do you approach a conversation about dementia when it’s such an emotive topic? “As we get older, we’re all prone to becoming more forgetful, taking longer to remember certain things, getting distracted more easily or struggling to perform several tasks at once,” says head of knowledge at Alzheimer’s Society, Dr Tim Beanland. “These are common signs of getting older, but there is still a very sharp distinction between normal ageing and dementia.” Symptoms that may worry you “Symptoms of dementia gradually get worse over time,” Beanland explains, “and can appear as memory loss, confusion, needing help with everyday tasks, problems with language and understanding, or changes in behaviour. Although symptoms typically occur in people aged 65 and over, they can occasionally appear as early as twenty years sooner.” You may be scared Seeing these types of changes is understandably worrying – it’s a reminder of the age and health of those around us. “Noticing what might be dementia symptoms in a loved one can be distressing and confusing, particularly for people who have never dealt with dementia before,” Beanland says. “Both parties may feel nervous or worried about how to address the topic of potential dementia symptoms, and may not know where to begin.” Be open Beanland suggests asking questions like, ‘How are you feeling lately, physically and emotionally?’ Or ‘Do you have any health worries you’d like to talk about?’ It’s important to remember when approaching someone who may be experiencing dementia symptoms to do so gently, calmly and in a reassuring and supportive manner. “People experiencing dementia symptoms may find it difficult, or take a bit longer, to find the words they wish to say,” notes Beanland. “So, allowing them extra time, or giving them gentle prompts, can help them find the words they’re looking for, without highlighting they’ve forgotten something.” Do your research Dementia or Alzheimer’s may not be the only answer. It’s important to remember there are other conditions which can cause similar symptoms to dementia, such as thyroid problems or urinary tract infections, says Beanland. “Try to focus on helping the person see their GP, to find out what is causing the problems they are having. It’s also important to understand that, whether you are experiencing dementia symptoms personally or you’re a concerned loved one, you do not have to face dementia alone. There is support out there for you. “I’d encourage anyone worried about their own or a loved one’s memory to use Alzheimer’s Society’s symptoms checklist. It will help to unlock the vital care and support you need, and give you the precious time needed with your family to plan for the future.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live As Simon Cowell shares positive therapy experience, how can it help even if you aren’t in crisis? Project launched to bust myth that cancer is a ‘white person’s disease’ 10 slick ways to kit out your student digs

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