Symptoms:

Most of the time, early cervical cancer has no symptoms. Symptoms that may occur can include:

• Abnormal vaginal bleeding between periods, after intercourse, or after menopause
• Any bleeding after menopause
• Continuous vaginal discharge, which may be pale, watery, pink, brown, bloody, or foul-smelling
• Periods become heavier and last longer than usual

Symptoms of advanced cervical cancer may include:

• Back pain
• Bone fractures
• Fatigue
• Heavy bleeding from the vagina
• Leaking of urine or feces from the vagina
• Leg pain
• Loss of appetite
• Pelvic pain
• Single swollen leg
• Weight loss

Signs and tests:

Precancerous changes of the cervix and cervical cancer cannot be seen with the naked eye. Special tests and tools are needed to spot such conditions.

• Pap smears screen for precancers and cancer, but do not make a final diagnosis.
• If abnormal changes are found, the cervix is usually examined under magnification. This is called colposcopy. Pieces of tissue are surgically removed (biopsied) during this procedure and sent to a laboratory for examination.

Other tests may include:

• Endocervical curettage (ECC) to examine the opening of the cervix
• Cone biopsy

If the woman is diagnosed with cervical cancer, the health care provider will order more tests to determine how far the cancer has spread. This is called staging. Tests may include:

• Chest x-ray
• CT scan
• Cystoscopy
• Intravenous pyelogram (IVP)
• MRI