1. Cervical Cancer: What Every Woman Should Know Manitoba Cervical Cancer Screening Program

2. The Cervix

3. Cancer of the cervix… a)is very treatable if found early b)has many early symptoms c)is hereditary (runs in families) d)all of the above www.TellEveryWoman.ca

4. Cancer of the cervix… a)is very treatable if found early b)has many early symptoms c)is hereditary (runs in families) d)all of the above www.TellEveryWoman.ca

5. Facts about cervical cancer: Most types grow slowly It can be cured if found and treated early Most women diagnosed with cervical cancer haven’t ever had a Pap test, or haven’t had a Pap test in five years or more since their diagnosis Regular Pap tests with follow-up of abnormal changes can prevent most cancer of the cervix www.TellEveryWoman.ca

6. Each year in Manitoba 45 new cases of cervical cancer 15 women die from cervical cancer www.TellEveryWoman.ca

7. Which of the following women is at risk for developing cervical cancer? a)Mary who has had only one sexual partner in her lifetime b)Eve who has worked as a sex trade worker for the last 15 years c)Sally who started having sex at 14 and has smoked a pack of cigarettes every day for the past 5 years d)Sylvia who had sex once 5 years ago e)All of these women www.TellEveryWoman.ca

8. Which of the following women is at risk for developing cervical cancer? a)Mary who has had only one sexual partner in her lifetime b)Eve who has worked as a sex trade worker for the last 15 years c)Sally who started having sex at 14 and has smoked a pack of cigarettes every day for the past 5 years d)Sylvia who had sex once 5 years ago e)All of these women www.TellEveryWoman.ca

9. Risk factors for cervical cancer: Infection with HPV Exposure to HPV at an early age Having never had a Pap test or have not had one in over 5 years Having HIV Long term use of oral contraceptives Cigarette smoking www.TellEveryWoman.ca

10. How can I reduce my risk? Have regular Pap tests (at least one every 2 years) Ask your health care provider about the HPV Vaccine Delay sex until late teens or older Avoid cigarette smoke Keep your body healthy and strong www.TellEveryWoman.ca

11. Human Papilloma Virus (HPV)… a)makes your garden grow better b)is found on the cervix’s of women with cancer of the cervix c)makes your hair turn green d)is a new form of HIV www.TellEveryWoman.ca

12. Human Papilloma Virus (HPV)… a)makes your garden grow better b)is found on the cervix’s of women with cancer of the cervix c)makes your hair turn green d)is a new form of HIV www.TellEveryWoman.ca

13. HPV… is very common is spread easily often has no symptoms can cause changes on your cervix, that if left untreated, can lead to cervical cancer www.TellEveryWoman.ca

14. The HPV Vaccine Protects against 4 kinds of HPV (16, 18, 6 & 11) –HPV 16 & 18 cause over 70% of cervical cancer –HPV 6 &11 cause 90% of genital warts Works best when it is given to young women before they start having sexual contact Does not cure existing HPV infections Ask your health care provider about the vaccine If you receive the vaccine, you still need Pap tests! In the 2008-2009 school year, Manitoba Health and Healthy Living will introduce a voluntary, publicly funded HPV vaccine program for grade six girls www.TellEveryWoman.ca

15. For more information about the HPV Immunization Program in Manitoba… visit the Manitoba Health website at www.gov.mb.ca/health/hpv/ www.gov.mb.ca/health/hpv/ or call (204) 788-6737 www.TellEveryWoman.ca

16. What is the best thing you can do to reduce your risk? Have regular Pap tests! www.TellEveryWoman.ca

17. What is a Pap test? Cells from your cervix are examined for changes that may lead to cervical cancer. www.TellEveryWoman.ca

20. The Cervix

24. The Pap test… a)looks at the health of the uterus only b)looks at the health of the cervix only c)looks at the health of the ovaries only d)checks for sexually transmitted infections (STI’s) e)all of the above www.TellEveryWoman.ca

25. The Pap test… a)looks at the health of the uterus only b)looks at the health of the cervix only c)looks at the health of the ovaries only d)checks for sexually transmitted infections (STI’s) e)all of the above www.TellEveryWoman.ca

26. A woman should start having regular Pap tests when… a)she turns 18 years of age b)she starts having sex c)she starts taking the birth control pill d)she wants to get pregnant www.TellEveryWoman.ca

27. A woman should start having regular Pap tests when… a)she turns 18 years of age b)she starts having sex c)she starts taking the birth control pill d)she wants to get pregnant www.TellEveryWoman.ca

28. The longest a woman should go between Pap tests is… a)one year b)two years c)three years d)five years www.TellEveryWoman.ca

29. The longest a woman should go between Pap tests is… a)one year b)two years c)three years d)five years www.TellEveryWoman.ca

30. First screen 2008 OK Next screen 2014 OK Next screen 2012 OK Next screen 2010 OK Next screen 2009 OK

31. Where can I go? Your health care provider Some clinics have special times Call us or visit our website to find out where you can go in your neighborhood or community! www.TellEveryWoman.ca

32. How can I help the test? Do not put anything into your vagina for 48 hours Do not have sex for 24 hours Try to make your appointment mid cycle www.TellEveryWoman.ca

33. Bring a friend! If you would feel more comfortable bringing a friend with you, do so. She can stay with you during the procedure!

34. Women may be able to stop having Pap tests when they… a)are not having sex more than twice per week b)stop having their periods c)are 70 years of age d)begin regular exercise www.TellEveryWoman.ca

35. Women may be able to stop having Pap tests when they… a)are not having sex more than twice per week b)stop having their periods c)are 70 years of age d)begin regular exercise www.TellEveryWoman.ca

36. I had a hysterectomy… do I still need a Pap test? Maybe…ask your doctor or nurse www.TellEveryWoman.ca

37. A woman can get a copy of her Pap test results from… a)her doctor b)her pharmacist c)her neighbor d)the Manitoba Cervical Cancer Screening Program e)her doctor and/or the Manitoba Cervical Cancer Screening Registry www.TellEveryWoman.ca

38. A woman can get a copy of her Pap test results from… a)her doctor b)her pharmacist c)her neighbor d)the Manitoba Cervical Cancer Screening Program e)her doctor and/or the Manitoba Cervical Cancer Screening Registry www.TellEveryWoman.ca

39. The Registry Central Confidential Easy to access All Manitoba women Opt out option Will send you your results!!

40. If you have an abnormal Pap test it is important that you keep all appointments related to your abnormal Pap test because… a)You probably don’t have cancer but the cells from your cervix look like they have changes b)You probably have cervical cancer www.TellEveryWoman.ca

41. If you have an abnormal Pap test it is important that you keep all appointments related to your abnormal Pap test because… a)You probably don’t have cancer but the cells from your cervix look like they have changes b)You probably have cervical cancer www.TellEveryWoman.ca

42. What happens if my results aren’t normal? Repeat Pap test in 6 months Referral to colposcopy www.TellEveryWoman.ca

43. Colposcopy

44. Mary is 50 years old. She had a normal Pap test two months ago. Last night she had some bleeding after she and her partner had sex. Mary is not having her period. Mary should… www.TellEveryWoman.ca

45. a)relax – menopause does weird things to your body b)wait a month and see if she feels better c)have sex again to see if the bleeding happens again d)see her health care provider www.TellEveryWoman.ca

46. a)relax – menopause does weird things to your body b)wait a month and see if she feels better c)have sex again to see if the bleeding happens again d)see her health care provider www.TellEveryWoman.ca

47. We are here to answer your questions! We have pamphlets in many languages Most of our resources are available off our website For more information: you can call us at 788.8626 or 1.866.616.8805 or visit our website TellEveryWoman.ca www.TellEveryWoman.ca

50. DVD’s and Video’s

51. When was your last Pap test? Are you due?

52. Remember… most cervical cancers can be prevented! www.TellEveryWoman.ca

53. TellEveryWoman.ca Manitoba Cervical Cancer Screening Program