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Cervical cancer symptoms include vaginal bleeding that is unusual for you, changes to vaginal discharge, discomfort during sex and pain in your lower back or pelvis. If you have symptoms, you should contact your GP.
On this page:
Cervical cancer may not cause any symptoms or the symptoms may not be obvious. The most common symptoms of cervical cancer include:
It is important to remember that these symptoms usually happen for reasons other than cervical cancer. But it is also important to contact your GP straight away, so they can give you reassurance and support.
If you have regular periods, unusual vaginal bleeding happens any time outside of your regular period. It may happen:
Although this may be worrying, remember there are many different reasons for unusual bleeding that may not be related to cervical cancer, including hormonal contraception (birth control) and cervical ectropion.
If you are over 45 and haven’t had a period for more than a year, you may have gone through the menopause. After the menopause, any bleeding from the vagina needs to be checked by your GP, even if it is light or just happens once.
Whatever type of unusual vaginal bleeding you have, it is important to contact your GP. They can examine you and make sure everything is okay.
Vaginal discharge is a fluid (mucus) that cleans and protects the vagina. Most women have it, but it is good to be aware of any changes. Those changes may be:
Vagina discharge can change for lots of reasons that aren’t related to cervical cancer, such as an infection or changing hormones.
It is important to tell your GP about any changes so they can put your mind at ease and make sure you get the care you need.
You may find sex painful or uncomfortable. This is sometimes called dyspareunia.
Sex may be painful for lots of reasons, both physical and psychological, that aren’t related to cervical cancer. There are things that may help, such as using more lubrication or seeing a counsellor that specialises in sex therapy. But to reassure you and so sex can become more comfortable, it is important to contact your GP and tell them about the pain.
Sometimes we feel pain in our lower back or between our hipbones for a reason, like pulling a muscle or having a period. But it is a good idea to tell your GP about this pain if:
If cervical cancer becomes more advanced or spreads to other parts of the body, it can cause further symptoms, including:
All of these symptoms may be caused by conditions other than advanced cervical cancer, but it is important to tell your GP if you have any.
All of the symptoms we talk about on this page often happen for a reason other than cervical cancer. But if you have any of these symptoms or are worried about anything else, it is best to contact your GP as soon as possible.
We know it can be worrying when you notice unusual symptoms and that it may be especially concerning at the moment.
If you have symptoms, you should ring your GP surgery and ask for a phone appointment. Your GP should assess you over the phone to help decide the next steps:
Once they know more about your individual situation, they will decide whether they need to see you at a face-to-face appointment to do a further examination.
At the moment, the aim is to protect you and health workers from coronavirus, so your GP may decide that you do not need a face-to-face appointment. It is important to remember that cervical cancer is rare, so the likelihood that your symptoms are caused by cervical cancer is low.
You should not only be offered cervical screening (a smear test) if you have symptoms. Cervical screening is a preventative test, not one to diagnose a condition.
If you have symptoms, you should be offered a pelvic examination. It checks your reproductive organs (see picture below) for anything that may be causing your symptoms.
A pelvic examination is done by a trained GP or practice nurse – you can ask for a female. They will wear new, clean gloves for the examination. The examination lasts for a few minutes.
A pelvic examination involves the GP or nurse:
Your GP or nurse should explain each step before they do it, to make sure you are comfortable and consent to the examination. If you are uncomfortable or want to stop at any time, tell them.
Your GP may also ask you to take a pregnancy or STI test. This is to rule out other conditions that may be causing any symptoms. If you are pregnant or have an STI, your GP can make sure you get the right care and support.
After your pelvic examination, your GP may refer you to colposcopy or a specialist doctor called a gynaecologist. This means you will invited to the hospital for further tests, to help find out why you have symptoms.
If you have any symptoms, it is important to speak with your GP. They will be able to give you medical advice based on your situation and history.
Remember, we are here to support you and our services are open if you want to talk through anything or simply have someone listen to your concerns on 0808 802 8000.
We also have a welcoming community in our online Forum, where you can get and give support. There are a few conversations about symptoms, so you can choose to read existing threads or post your own messages.
If you have general questions about symptoms or cervical cancer, our Ask the Expert service may be able to help. Submit your question confidentially to our panel of experts and get a tailored reply.
If you want to know more, head to our cervical cancer section and pick the page you want. We have lots of information about cervical cancer risk, diagnosis, treatment and living with cancer.
Thank you to all the experts who checked the accuracy of this information, and the volunteers who shared their personal experience to help us develop it.
We write our information based on literature searches and expert review. For more information about the references we used, please contact [email protected]