𝐁𝐡𝐮𝐭𝐚𝐧 𝐅𝐚𝐜𝐞𝐬 𝐀𝐥𝐚𝐫𝐦𝐢𝐧𝐠 𝐈𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐢𝐧 𝐂𝐞𝐫𝐯𝐢𝐜𝐚𝐥 𝐂𝐚𝐧𝐜𝐞𝐫 𝐂𝐚𝐬𝐞𝐬

…𝒉𝒆𝒂𝒍𝒕𝒉𝒄𝒂𝒓𝒆 𝒆𝒙𝒑𝒆𝒓𝒕𝒔 𝒔𝒕𝒓𝒆𝒔𝒔 𝒕𝒉𝒆 𝒊𝒎𝒑𝒐𝒓𝒕𝒂𝒏𝒄𝒆 𝒐𝒇 𝑯𝑷𝑽 𝒗𝒂𝒄𝒄𝒊𝒏𝒂𝒕𝒊𝒐𝒏 𝒂𝒏𝒅 𝒓𝒆𝒈𝒖𝒍𝒂𝒓 𝒔𝒄𝒓𝒆𝒆𝒏𝒊𝒏𝒈𝒔 𝒕𝒐 𝒄𝒐𝒎𝒃𝒂𝒕 𝒓𝒊𝒔𝒊𝒏𝒈 𝒎𝒐𝒓𝒕𝒂𝒍𝒊𝒕𝒚 𝒓𝒂𝒕𝒆𝒔

By Kezang Choden

Cervical cancer has emerged as a significant public health concern in Bhutan, with the incidence of the disease steadily increasing over the past decade. Recent statistics reveal an alarming trend, with an annual influx of 70-80 new cervical cancer patients and 25-30 resulting deaths each year. The urgency of addressing this issue is paramount, as the rise in cases demands immediate attention from both healthcare authorities and the public.

Dr. Dorji, Gynecologist, Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) said, “Human Papillomavirus (HPV) infections stand out as the leading cause of cervical cancer. This revelation highlights the critical need for HPV vaccination and regular screening protocols to detect and treat infections before they escalate in to cancerous conditions. Engaging in unprotected sexual activity with multiple partners, women who give birth at young age, women who have undergone multiple childbirths, tobacco use has been identified as a significant risk factors, failing to undergo regular Cervical cancer screening and individuals living with HIV/AIDS are particularly vulnerable to Cervical cancer due to compromised immune systems.”

Dr. Ugyen Tshomo, a prominent figure in the country’s medical community and Gynecologist, at JDWNRH, emphasized the urgency of addressing this issue, stating that the rise in cases is alarming and requires immediate attention from both healthcare authorities and the public. She stressed the urgency of addressing this issue, stating that the rise in cervical cancer cases is alarming and requires immediate attention from both healthcare authorities and the public.

Dr. Tshomo emphasizes that Cervical cancer is the most common cancer diagnosed in our women, with an estimated incidence of 20/100,000 women population. Leading to high mortality due to late diagnosed in last stages. However, Doctor also said the importance of preventive measures such as regular Pap smear screenings in detecting and treating the disease at its earliest stages.

On February 9, 2024, Dechen Zangmo, now a vibrant member of the cancer community, received the devastating news of her cervical cancer diagnosis. At the young age of 28, she faces a challenging journey ahead, navigating treatment options and confronting the realities of the disease. Zangmo shared, “Receiving a cervical cancer diagnosis can be overwhelming. I only experienced a drop of bleeding during my seven-month pregnancy. Emotionally, it’s common to feel a mix of shock, fear, sadness, or even anger. It’s important to acknowledge and express these feelings and seek support as needed.” In the face of adversity, the love and support of family and friends have kept her going, providing strong faith and purpose as Zangmo bravely confronts her battle with cervical cancer. She is advised to undergo routine screening every three months to safeguard her health.

Tshering Yangchen, 31-years-old, received distressing news after her medical examination. She has been diagnosed with cervical cancer. Despite not experiencing any prior symptoms, Yangchen faces the daunting challenges of navigating treatment options while dealing with fear and uncertainty. Expressing her emotions, Yangchen said, “I feel very scared physically and emotionally.” However, she has found solace in the unwavering support of her family and friends during this tiring time.

Upon receiving the diagnosis, Yangchen engaged in open discussions with her medical team to explore the available treatment avenues. After careful consideration, her team recommended a minimally invasive surgical procedure known as Loop Electrosurgical Excision Procedure (LEEP). Though apprehensive about the road ahead, she remains resilient, drawing strength, guidance and advice provided by her healthcare professionals. With her support network by her side, she is determined to face the challenges of treatment head-on.

“Cervical cancer is a serious health concern for women worldwide, we emphasize the importance of Pap tests and HPV screenings for women aged 30-65. These screenings are essential for detecting abnormal cells and identifying high-risk HPV strains, which are major contributors to cervical cancer development. Being vaccinated at the age 11-16 years is a highly effective way to prevent HPV- related cancers. In a significant stride towards inclusive healthcare, 2020 marks the year when boys are now included in the HPV vaccination program. This expansion of preventive measures signals a critical shift in public healthy, aiming to safeguard both genders against the risk of HPV- related diseases.” Dr. Dorji shared.

He also added, “Cervical cancer is the 100% preventable and curable cancer. By detecting abnormalities early on, we can intervene promptly, offering patients the best possible outcomes. Regular Pap smear screenings are important to save lives and prevent unnecessary sufferings.”