Definitive treatment of cervical cancer in Iran

The cost of radiotherapy for the treatment of endometriosis in Iran: 140-1,500 dollars
Average stay in Iran: 7-10 days
Return to work after uterine surgery: 12-15 days
Analgesia or procedure for uterine surgery: Complete anesthesia
Location of surgery: General public hospitals in Iran
Duration of hospitalization: 1-2 days
Other services: Hotel - Ticket - Medical visa - Tourist services in Iran
Free services: Intra-city trips in Tehran - Digital medical records - Telemedicine (doctor's online visit) - Nursing and treatment services at your hotel

---

---

 

Treatment of precancerous lesions

The choice of treatment for precancerous lesions of the cervix depends on a number of factors, including whether the lesion is more or less large, whether you decide to have children in the future, your age and general health, and your individual preferences as well as your doctor.

If you have a low-grade lesion (CIN I, as diagnosed by a Pap smear), you may not need further treatment, especially if the abnormal tissue has been completely removed during the biopsy. You should have regular Pap smears and pelvic exams as scheduled by your doctor.

When a precancerous lesion needs treatment, it is possible to eliminate the abnormal area while minimizing damage to the surrounding healthy tissue by combining LEEP, cold knife conization, cryosurgery, catheterization. (Burning, also known as diathermy) or laser surgery.

Treatment of precancerous lesions may cause cramps or pain, bleeding or watery discharge from the vagina.

In some cases, you may choose a hysterectomy for precancerous changes, especially if abnormal cells are found inside the cervix or you have severe or recurrent dysplasia. This surgery is more recommended if you do not plan to have children in the future.

Sometimes diagnostic procedures, such as LEEP and cold knife conization, may treat precancerous lesions of the cervix on their own. Both methods involve taking tissue for evaluation. If the evaluation shows abnormal cells, but the cells have not spread to the cut tissue, only follow-up examinations may be needed.

If there is uncertainty as to whether all cancer cells have been removed using LEEP or cold knife conization, further treatment may be needed.

In some cases, cryocutery may be used. In this method, a steel tool is cooled to a temperature below zero degrees by immersion in liquid nitrogen or a similar liquid. The ultra-cold device is then placed on the surface of the cervix to freeze the cells. Eventually these cells are destroyed and new cervical cells are replaced.

Laser ablation may also remove tissue. In this procedure, a laser beam is shone on either specific part of the cervical tissue or a whole layer of tissue on the surface of the cervix. The laser kills these cells, leaving healthy cells intact

The success of cryotherapy or laser ablation procedures is determined by a follow-up test and a Pap smear. None of these methods are used to obtain tissue samples for evaluation. They only destroy abnormal tissue. Therefore, the margins and edges can not be examined to prevent the spread of cancer.

Read more about Partial mastectomy and compelet mastectomy in Iran.

Invasive cancer treatment

The most commonly used treatments for invasive cervical cancer are surgery and radiation therapy. Sometimes chemotherapy or biotherapy are also used.

Surgery is usually needed if the biopsy shows that the cancer cells have been attacked by a layer called the basement membrane, which separates the surface layers of the cervix from the other underlying layers. The amount of surgery varies depending on the stage of the cancer.

In cervical cancer, surgery removes cancerous tissue inside or near the cervix.

If the cancer is only on the surface of the cervix, the cancer cells are killed or destroyed using methods similar to those used to treat precancerous lesions, such as LEEP or cold knife conization.

If the disease has invaded the deeper layers of the cervix but has not spread beyond the cervix, surgery may kill the tumor but leave the uterus and ovaries intact.

If the disease has spread to the uterus, a hysterectomy (removal of the uterus and cervix) is usually necessary. Occasionally, the ovaries and fallopian tubes are removed. In addition, lymph nodes may be removed near the uterus to check for cancer. Hysterectomy is also sometimes performed to prevent the spread of cancer.

Radiation therapy (or radiotherapy) is also used to treat cervical cancer in some stages. Radiation therapy uses high-energy rays to damage cancer cells and stop them from growing. Radiation therapy, like surgery, is a topical treatment. This means that it affects cancer cells only in the treated area. External or internal beams may be applied. Some women receive both types. External beams radiate from a large device that targets your pelvis. Treatment sessions that last only a few minutes are usually five days a week for five to six weeks. At the end of this period, an additional dose of radiation therapy called a "boost" may be applied to the tumor site. Due to safety concerns and equipment costs, radiotherapy is generally only available in some large medical centers or hospitals.

Radiation therapy with an internal implant is dilated from a capsule containing radioactive material that is placed directly on the cervix. The implant directs the cancer's lethal rays closer to the tumor, destroying most of the healthy tissue around it. There are two types of implant radiation, also called brachytherapy.

Another type is high-dose brachytherapy. This procedure may be performed on an outpatient basis. During this operation, the implant is placed in place for a few minutes and then removed. The treatment is done several times over several weeks, each treatment is usually at least a week apart.

Chemotherapy is the use of powerful drugs to kill cancer cells. In cervical cancer, chemotherapy is most often used when the cancer has progressed locally or has spread to other parts of the body. Only one drug or combination of drugs may be offered. Anticancer drugs used to treat cervical cancer may be given intravenously or orally. In any case, chemotherapy is a systemic treatment, meaning that the drugs flow through the bloodstream through the body. These drugs can kill cancer cells anywhere in the body.

Chemotherapy is given in several cycles: each cycle consists of an intensive treatment period followed by a recovery period. Treatment usually involves several cycles. Most patients receive chemotherapy on an outpatient basis (in an outpatient clinic, doctor's office, or home). Depending on what medications you are being given and depending on your general health, you may need to stay in the hospital during treatment.

The treatment for invasive cervical cancer usually consists of a team of specialists. The team generally consists of a gynecologist, oncologist, and a radiologist. These doctors may decide to use one treatment or a combination of several. You can also decide to take part in a clinical trial (research study) to evaluate new treatments. Such studies are designed to improve cancer treatment. There are both benefits and risks to participating in a clinical trial.

Read more about Treatment of uterine cancer in Iran.

Home care for cervical cancer Is Cervical Cancer Deadly?

Self-medication for cancer is by no means appropriate. Without medical treatment, cervical cancer will continue to grow and spread. Eventually, vital organs will not be able to function properly; Because cancer has taken up oxygen and nutrients, altered or damaged them, in which case, often, the result is death.

Although self-medication is inappropriate, there are ways you can reduce and treat the physical and psychological stress of cervical cancer.

Getting proper nutrition through your diet does not have to be complicated. You may lose your appetite during treatment for cervical cancer. Common side effects of chemotherapy include nausea, vomiting, and sores in the mouth.

But if you consume enough calories and protein, you will maintain your strength and energy and you will tolerate the side effects of the treatment better. Your oncologist or obstetrician may be able to suggest a nutritionist who can help you get the right calories and protein.

 

The following lifestyle changes may make you feel better and more comfortable during treatment:

In order to maintain your energy level, do gentle physical activities. Make sure these activities do not bore you.

Get enough sleep at night and take naps if necessary during the day.

Quit smoking.

Avoid alcohol. You may not be able to drink alcohol with some medications. Be sure to ask your doctor about this.

Regular visits to the doctor after treatment of cervical cancer

Regular pelvic exams and Pap smears are important for every woman. These tests are more important for a woman who has been affected by precancerous changes or cervical cancer.

Follow-up care should include a thorough pelvic exam, Pap smear, and other tests as determined by a regular schedule recommended by a gynecologist. These precautions are essential for early detection of cancer recurrence.

Side effects of cervical cancer treatment may occur years later. For this reason, you should continue to have regular check-ups and report any problems that may arise.

The key to preventing invasive cervical cancer is to identify any cellular changes in the early stages before they become cancerous. Regular pelvic exams and Pap smears are the best way to do this. How often you should have a pelvic exam and Pap smear depends on your individual situation, but here are some guidelines:

If you are over 21 years old, be sure to get a Pap smear every 3 years to check for cervical cancer.

If you are between 30 and 65 years old, you can have both a Pap smear and a Human Papillomavirus (HPV) test every 5 years. If you are older, you can stop the tests if your doctor says your risk is low.

According to the guidelines, women at any age who have had their cervix removed by hysterectomy and have no history of cervical or precancerous cancer do not need to be screened.

If you are sexually active and have a higher risk of contracting a sexually transmitted disease, get tested annually for chlamydia, gonorrhea and syphilis. Get tested for HIV at least once, and if you are at high risk.

Prevention of HPV infection is very important in preventing precancerous changes and cervical cancer. Preventive measures include the following:

Abstinence from sex is recommended as a way to prevent HPV transmission.

Likewise, a protective barrier such as condom use can reduce the risk of HPV, although this has not yet been fully studied.

 

Vaccines are available to protect women from cervical cancer and men from HPV:

Gardasil is approved for use in men and women between the ages of 9 and 26. This vaccine protects you against two types of HPV (types 16 and 18), which make up 70% of cervical cancers and more than 50% of precancerous lesions of the cervix, vulva and vagina.

Gardasil 9 is also available for men and women between the ages of 9 and 26. This vaccine prevents HPV infections such as HPV-31, HPV-33, HPV-45, HPV-52 and HPV-58. In total, these types are involved in 90% of cervical cancers.

The best country to treat uterine cancer

Iran is known as a cheap country for all medical services and cosmetic surgery. Medical expenses in Iran are very cheap for other countries due to the general policies of the government and the low price of the Iranian currency against the dollar.

By traveling to Iran, you can get the best medical and tourist services at the most reasonable prices.

 

For example, we examine the cost of hysterectomy in Iran and several other countries:

Cost of hysterectomy in Iran	1400-1800
The cost of hysterectomy surgery in Canada	9,000-12,000
The cost of uterine cancer surgery in the United States	15,500-27,500
Cost of Cervical Surgery in Australia	12,000-21,000
Cost of hysterectomy in Turkey	4,000-  6,000
The cost of hysterectomy surgery in India	3500-5000
The cost of radiotherapy in the United States	10,000- 50,000
The cost of radiotherapy in Turkey	7,000-10,000
Cost of radiotherapy in Spain	13,000-  45,000
The cost of radiotherapy in India	2900-5000
The cost of radiotherapy in Iran	140-1450