Talking to doctors about cervical cancer

There is no easy way to tell someone that they have cancer. However, many people describe their cancer experience as life-changing and the way in which they are told can have a powerful impact on their state of mind, coping ability and future relationship with their medical team.

Some women said they were glad they had been told their diagnosis in a straightforward manner. Others described the way their doctor had told them their diagnosis as blunt but in hindsight felt it was probably the best way to break the news. One woman wanted her doctor to be more direct with her. Many women were alone when they were told they had cancer.

She would have preferred her doctor to have told her her diagnosis in a straightforward manner.

Age at interview 37

Gender Female

Age at diagnosis 32

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People react in different ways when they are told they have cancer. One woman described how, because she didn’t react as he had expected when he gave her the result that her cancer was advanced, the consultant seemed to feel he had to keep repeating it until she showed the expected reaction.

She explains how she felt when her doctor did not realise that she had understood her diagnosis.

Age at interview 28

Gender Female

Age at diagnosis 27

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Communication between doctors and their patients can profoundly affect how patients cope with their illness. A woman who felt exceptionally well cared for describes the friendly and approachable manners of her medical team helped her to feel positive during her recovery in hospital. Another described feeling confident in her surgeon’s judgment because he answered all her questions and gave her lots of information.

Her medical team’s attitude helped her feel positive during her recovery in hospital.

Age at interview 53

Gender Female

Age at diagnosis 51

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In contrast, one woman describes how she felt about the insensitivity shown to her by a doctor at the cancer clinic. Another said her consultants had made personal comments to her had led her to feel uncomfortable at future appointments.

The insensitivity shown to her by a doctor on her first visit to the cancer clinic affected her…

Age at interview 47

Gender Female

Age at diagnosis 47

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She felt that consultants should be able to be friendly but was made uncomfortable by personal…

Age at interview 37

Gender Female

Age at diagnosis 32

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Decision-making about treatment could be made easier or more difficult according to the manner of communication. One woman explains how the open communication between herself and her medical team had helped her to decide to have a trachelectomy (where the womb (uterus) is left in place so it’s still possible to have a baby).

Her decision to have a trachelectomy was helped by the positive communication with her medical team.

Age at interview 39

Gender Female

Age at diagnosis 31

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Many women said it had made a considerable difference when doctors or nurses explained procedures during tests and treatments. In comparison, one woman had experienced unnecessary distress because she had not been told why she needed to sign a form during her radiotherapy planning session.

She felt reassured by the way her doctor communicated with her.

Age at interview 53

Gender Female

Age at diagnosis 42

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Not being given an explanation for why she needed to sign a form caused her unnecessary distress.

Age at interview 42

Gender Female

Age at diagnosis 36

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Communication between doctors and their patients can reduce or increase patient’s concerns about ailments following treatment for cancer. Several women stressed that doctors should listen to and address these concerns and recognise that what may seem trivial to a doctor may create anxiety in the patient until it is fully explained.

She comments that doctors should address their patients fears about ailments following treatment…

Age at interview 37

Gender Female

Age at diagnosis 32

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Ideas about causes of cervical cancer

The main risk for getting cervical cancer is persistent infection with some types of human papilloma virus (HPV), known as high risk HPV. This is...