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Diagnosing vaginal cancer

Screening for vaginal cancer

There is no national screening programme for vaginal cancer in the UK. This is because there isn’t a test that can pick up vaginal cancer at an early stage.

What is cancer screening?

Screening means testing people for early stages of a disease. This is before they have any symptoms. For screening to be useful the tests:

  • need to be reliable at picking up cancers

  • overall must do more good than harm to people taking part

  • must be something that people are willing to do

Screening tests are not perfect and have some risks. The screening programme should also be good value for money for the NHS.

Why there isn’t a screening programme for vaginal cancer in the UK?

There is no screening programme for vaginal cancer in the UK at the moment because:

  • vaginal cancer is rare, so many people would have unnecessary tests

  • the benefits don't outweigh the costs

Screening for cervical cancer

The NHS has a screening program for cervical cancer. The cervical screening programme aims to pick up changes early that could develop into cervical cancer if left untreated. 

It tests for a virus called (HPV). High risk HPV can cause cervical cells to become abnormal. Virtually all cases of cervical cancer are linked to high risk HPV. 

Cervical screening does not screen for vaginal cancer. But when you have cervical screening, your nurse routinely examines your vagina at the same time.  

They may pick up changes in the vagina, for example thickening or ulceration. Or pre cancerous conditions such as vaginal intraepithelial neoplasia (VAIN). Treatment for VAIN helps prevent vaginal cancer from developing.

Find out more about vaginal intraepithelial neoplasia (VAIN)

Find out about cervical screening

Last reviewed: 11 Mar 2024

Next review due: 11 Mar 2027

Seeing your GP when you have symptoms of vaginal cancer

See your GP if you notice a change that isn't normal for you or if you have any of the possible signs and symptoms of vaginal cancer.

What is vaginal cancer?

Vaginal cancer is when abnormal cells in the vagina start to divide and grow in an uncontrolled way.

Symptoms of vaginal cancer

The main symptom of vaginal cancer is bleeding in between your periods or after the menopause.

Tests for vaginal cancer

You have a number of tests to check for vaginal cancer. This includes an examination of your vagina and taking a sample of tissue called biopsies.

Vaginal intraepithelial neoplasia (VAIN)

Vaginal intraepithelial neoplasia (VAIN) means that there are abnormal cells in the inner lining of the vagina.

Vaginal cancer main page

Vaginal cancer is very rare. It starts in the vagina, which is the passage that leads from the neck of the womb (cervix) to the vulva. Vaginal cancer is more common in older women.

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