Finding information about cervical cancer and decision-making

Finding sufficient information about their illness and treatments can be bewildering for patients if they do not know what questions to ask, where to find information or they don’t understand the medical language used. We found that some women wanted to find out as much information as possible, others found they could only cope with basic information. A few wanted to have information in stages.

Many mentioned that the information given to them by their doctors and nurses had been very helpful. However, some said they had to ask questions because this information wasn’t always freely given. One woman felt she wasn’t given enough information from her doctors. A few would have liked more specific information for cancer patients about recovery after a hysterectomy.

She asked her doctors questions about the side effects of treatments.

Age at interview 53

Gender Female

Age at diagnosis 51

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Comments that patients should be given more information by their doctors.

Age at interview 46

Gender Female

Age at diagnosis 46

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Some who were not given enough information about potential side effects of their treatments said they would have liked to have known more. In contrast, another who felt she was given sufficient information about bowel and bladder problems after a hysterectomy said it had helped her to know what to expect.

She would have liked more information about how her hysterectomy would affect her sex life.

Age at interview 53

Gender Female

Age at diagnosis 51

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Describes her feelings when she was not given information that her radiotherapy would cause a…

Age at interview 53

Gender Female

Age at diagnosis 42

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Many found it helpful to take a list of questions to their appointments. Suggestions of the questions patients can ask their doctors are available on the Cancer Research UK’s website. One woman had found it helpful to talk to Cancerbackup nurses (now merged with Macmillan Cancer Support) about her questions before her appointment with her consultant.

National organisations and books specifically about cervical cancer have increased in recent years but there are less than for other types of cancers. Some women contacted national cancer organisations, such as Macmillan Cancer Support, and said they got very good information about cervical cancer, treatments and talking to children. A few felt the information leaflets did not tell them all they would have liked to have known about possible side effects of lymphoedema after surgery.

One woman found it useful contacting Jo’s Cervical Cancer Trust to get a second opinion from a team of medical experts about her ongoing post-operative pain. Another had found it helpful to contact Jo’s Cervical Cancer Trust for information shortly after she was told her diagnosis. A few had contacted other organisations such as the Lymphoedema Support Network and the Hysterectomy Association.

She found Jo’s Cervical Cancer Trust helpful to get advice about her ongoing post-operative pain.

Age at interview 49

Gender Female

Age at diagnosis 41

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Several had found it helpful to read books or newspaper articles about cancer, women’s health, hysterectomy, HRT and the menopause. One wanted to know the medical facts about her illness and had read medical text books to learn about her cancer and treatment options.

Some had found the Internet a good source of information. One woman explains that the information she found on the Internet about her planned hysterectomy had reassured her. Another young woman had learned about cryo-ovarian preservation from the Internet and was then able to talk to her doctors about it. A few had felt bombarded with information which they could not understand or had found difficult to read.

She found the Internet useful to find information about her planned hysterectomy.

Age at interview 23

Gender Female

Age at diagnosis 23

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She read about cryo-ovarian preservation on the Internet and was able to talk to her doctors…

Age at interview 28

Gender Female

Age at diagnosis 27

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Many said they had found it reassuring talking to other women who had cancer about their experiences.

Several women were involved in their treatment decisions. Others preferred to rely on the judgement of their doctors. After being offered a radical trachelectomy by her consultant, one woman who wanted to have children explains how she made a decision to have a trachelectomy (where the womb (uterus) is left in place so it’s still possible to have a baby).

Explains how she looked for extra information before making a decision to have a radical…

Age at interview 38

Gender Female

Age at diagnosis 34

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Another describes how she decided to have her ovaries removed during her hysterectomy. A third who was diagnosed with advanced cancer and given a poor chance of survival sought a second opinion with another consultant to ask about her treatment options.

Explains how she relied on her consultant to help her decide whether to have her ovaries removed…

Age at interview 41

Gender Female

Age at diagnosis 39

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How cervical cancer affects you

Being diagnosed with a serious illness can be traumatic and overwhelming, and reactions differ from person to person. Here women discuss how they felt when...