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==Signs and symptoms== The early stages of cervical cancer may be completely [[asymptomatic|free of symptoms]].<ref name=Robbins/><ref name=pmid10735343/> [[Vaginal bleeding]], contact bleeding (one most common form being bleeding after sexual intercourse), or (rarely) a vaginal mass may indicate the presence of cervical cancer. Also, moderate pain during sexual intercourse and vaginal discharge are symptoms of cervical cancer.<ref>{{cite web|url=https://www.medicinenet.com/cervical_cancer/article.htm#what_is_cervical_cancer|title=Cervical Cancer Symptoms, Signs, Causes, Stages & Treatment|website=medicinenet.com}}</ref> Bleeding after douching or after a pelvic exam is a common symptom of cervical cancer.<ref>{{Cite news| url=http://www.cancer.org/cancer/cervicalcancer/moreinformation/cervicalcancerpreventionandearlydetection/cervical-cancer-prevention-and-early-detection-cervical-cancer-signs-and-symptoms| title=Cervical Cancer Prevention and Early Detection| work=Cancer| archive-url=https://web.archive.org/web/20150710000534/http://www.cancer.org/cancer/cervicalcancer/moreinformation/cervicalcancerpreventionandearlydetection/cervical-cancer-prevention-and-early-detection-cervical-cancer-signs-and-symptoms| archive-date=10 July 2015| url-status=live}}</ref> In advanced disease, [[metastasis|metastases]] may be present in the [[abdomen]], [[lung]]s, or elsewhere.<ref>{{cite journal | vauthors = Li H, Wu X, Cheng X | title = Advances in diagnosis and treatment of metastatic cervical cancer | journal = Journal of Gynecologic Oncology | volume = 27 | issue = 4 | pages = e43 | date = July 2016 | pmid = 27171673 | pmc = 4864519 | doi = 10.3802/jgo.2016.27.e43 }}</ref> Symptoms of advanced cervical cancer may include [[Anorexia (symptom)|loss of appetite]], weight loss, fatigue, pelvic pain, back pain, leg pain, swollen legs, heavy vaginal bleeding, bone fractures, and (rarely) leakage of urine or faeces from the vagina.<ref name="MedLine Plus Cerv Cancer">{{cite encyclopedia |url=https://www.nlm.nih.gov/medlineplus/ency/article/000893.htm |title=Cervical cancer |access-date=2 December 2007 |date=9 June 2006 |encyclopedia=MedlinePlus Medical Encyclopedia |publisher=[[National Institutes of Health]] |url-status=live |archive-url=https://web.archive.org/web/20071011011822/http://www.nlm.nih.gov/medlineplus/ency/article/000893.htm |archive-date=11 October 2007 }}</ref> Other signs of locally advanced disease (as the cancer invades organs in the pelvis) include [[hydronephrosis]] with flank pain as the [[ureters]] directing urine from the kidneys to bladder are blocked, leg swelling and blood clots in the legs as pelvic veins are blocked, rectal bleeding, and bleeding in the urine.<ref name="Tewari 2025" />
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