Cancer prevention guide

Screen the right people, at the right interval, with the right follow-up.

Women’s cancer screening and early detection guidance covering cervical, breast, endometrial and ovarian cancer risk.

Illustration of a woman discussing personalised cancer screening
Illustrative image
Why this matters

Prevention works best when it is specific.

Screening is testing people who do not have symptoms. A new breast lump, postmenopausal bleeding or persistent pelvic symptoms needs diagnostic assessment rather than waiting for a routine screening date.

The appropriate test and interval depend on age, past results, previous surgery, immune status and family history. India’s public-health programme includes population-based cervical and breast screening for women aged 30–65; private-care pathways may use different validated cervical tests and risk-based breast imaging.

01

Cervical cancer

Persistent high-risk HPV causes most cervical cancer. HPV vaccination and screening can prevent many cases by identifying risk or precancer before invasive cancer develops.

  • Public programmes may use VIA; HPV testing and cervical cytology are other validated approaches
  • An abnormal screen is not a cancer diagnosis—it identifies who needs follow-up
  • Previous abnormal results, HIV or immune suppression may change the schedule
02

Breast cancer

Breast awareness helps someone notice a change, while clinical examination and imaging are used according to age and risk. One schedule does not fit every woman.

  • Report a new lump, nipple inversion or discharge, skin dimpling or persistent focal change
  • Mammography timing should reflect age, risk and applicable guidance
  • Strong family history may justify earlier imaging and genetic assessment
03

Endometrial cancer

There is no routine population screening test for average-risk women. Unexpected bleeding—especially after menopause—is the key reason for timely assessment.

  • Report bleeding after menopause even if it happens once
  • Persistent irregular or very infrequent bleeding can require endometrial protection or assessment
  • Lynch syndrome and selected risk factors need specialist planning
04

Ovarian cancer

Routine ultrasound or CA-125 screening has not been shown to be an effective population screen for average-risk women. Persistent symptoms and inherited risk are managed differently.

  • Seek assessment for persistent bloating, early fullness, pelvic pain or urinary change
  • A normal ultrasound does not replace review of ongoing symptoms
  • BRCA or strong family history warrants genetics-led risk planning
Keep in mind

Three principles to take to your appointment.

  1. 1Screening is for people without symptoms; symptoms require diagnostic care.
  2. 2No test is perfect, so a positive result needs confirmation and a negative result does not explain persistent symptoms.
  3. 3Keep copies of results so intervals and follow-up are not lost when clinics change.
Cancer screening & early detection FAQs

Short answers to common questions.

01Is a Pap test the only cervical screening option?

No. Programmes may use HPV testing, cervical cytology (Pap testing), co-testing or VIA. The appropriate method and interval depend on the programme, age, risk and previous results.

02Should every woman have annual pelvic ultrasound and CA-125?

No. These are not recommended as routine ovarian-cancer screening for average-risk women. They may be used for symptoms, a mass or a specialist high-risk pathway.

03Does a family history change screening?

It can. Cancer type, which relative was affected and age at diagnosis matter. Some patterns justify genetic counselling, earlier imaging or risk-reducing options.

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