Liv Hospital Gynecology and Obstetrics Specialist Assoc. Prof. Dr. Ali Ovayolu, “To protect our most precious beings, our children, from cervical cancer, LET’S GET VACCINATED…”
The cervix uteri, located at the top of the vagina, can be directly seen by the doctor during a gynecological examination. The cervix, located at the innermost part of the woman’s external genital organs, can be exposed to direct contact with the penis, semen and other substances. Lesions (sores) can occur when the Human Papilloma Virus (HPV) is transmitted to women through sexual contact.
Lesions (sores) in the cervix can first turn into precancerous lesions (precursor to cancer) and then into cancer. A smear (PAPS-PAP smear) test is performed for early diagnosis of lesions in the cervix. Thus, precancerous lesions that may turn into cancer can be detected with this smear screening test, and then low and high risk categories are determined. Afterwards, high-risk lesions or cancer are investigated by colposcopy (a type of magnifying glass) and biopsy (sampling) of suspicious areas. The cancerous area of the cervix is removed with the conization (or LEEP) method, and then the boundaries of the cancer are determined. With gynecological examinations, ultrasound and this biopsy performed on the patients, cancer is detected at an early stage and treatment is attempted. If necessary, the uterus, fallopian tubes and ovaries can be removed. If it is in an advanced stage, in other words, if the cancer has spread, more advanced treatments such as radiotherapy (radiation therapy) and chemotherapy (cancer drugs) are applied. However, more important than all these treatments is PREVENTION. In other words, instead of treating the disease, taking precautions to prevent it from occurring.
Human Papilloma Viruses (HPV) can cause genital area cancers such as genital warts (condyloma acuminata), precancerous lesions in the cervix, cervical cancer (~100% relationship shown), anal cancer, vaginal cancer, vulva cancer in women, as well as nasopharyngeal (back of the nose), oropharynx (mouth), larynx (throat) cancers. While it also causes these cancers in men, it also causes genital warts and penile cancer. Therefore, our motto should be;
Primary prevention: Preventing the cause of the disease (HPV infection), Preventive vaccination
Human papillomavirus (HPV) can be transmitted through contact with a person who carries the virus. HPV may not show any symptoms in either the person who transmits it or the person who is infected. It continues to live silently in the genitals and around the mouth without mixing with the blood. In addition, 85% of all male and female individuals worldwide are infected with HPV at some point in their lives. Vaccination is recommended for individuals over the age of 9 or for both sexes before their first sexual contact. Prominent organizations such as the World Health Organization (WHO), the US Food and Drug Administration (FDA) and the US Centers for Disease Control and Prevention (CDC) have confirmed that HPV vaccines are effective and safe in both sexes. In countries where vaccination is routinely performed, a significant decrease in the above-mentioned cancers, especially genital warts and cervical cancer (almost all), has been observed. The vaccine has no known serious side effects. It is recommended to postpone it in the presence of serious infection and fever, but it can be administered to everyone else. It is appropriate to postpone it in pregnant women. The effectiveness of the HPV vaccine is almost 100. It is available in our clinic and can be applied immediately. Like the current COVID vaccine, the HPV vaccine is easily applied intramuscularly to the deltoid region of the upper arm or the upper lateral side of the thigh.
Let’s get vaccinated to protect our most precious beings, our children, from cervical cancer…
HPV vaccine again to protect our boys too!
WHO IS ASSOC. PROF. DR. ALI OVAYOLU?
She was born in 1977 in Gaziantep. She graduated from Çukurova Faculty of Medicine in 1999. She has worked in many places in the west and east of Turkey. After her specialization in gynecology, she worked on infertility/IVF treatments with Prof. Dr. Recai Pabuçcu’s team at Doğufertil IVF Center in Malatya. After working with Prof. Dr. Kypros Nicolaides in the field of perinatology (risky pregnancies) at the Harris Birthright Research Center for Fetal Medicine in London in 2007, she decided to return to her country and city despite all the insistence and to serve our country. Later, she focused on IVF again for 6 months at the IVF unit of Zeynep Kamil Training and Research Hospital, one of the busiest IVF centers in Turkey. In 2009, she received training on endoscopy (closed surgeries) from Prof. Dr. R K Mishra in India. Immediately after that, she worked at Ege University with Prof. Dr. She attended the endoscopy (laparoscopy-hysteroscopy) training given by Fatih Şendağ. In 2011, she attended the laparoscopy training of Prof. Dr. Hohl in Baden, Switzerland. In 2012, she attended the advanced gynecological surgery training at the Hospital of Ehingen-Donau, Kreiskrankenhaus Ehingen in Germany. Then, she received single port gynecological laparoscopy training from Istituto Nazionale Tumori Regina Elena Prof. Dr. Enrico Vizza in Rome. She served our region for many years in private and public hospitals in Gaziantep and its districts, primarily in Cengiz Gökçek Maternity and Children’s Hospital. Most recently, she attended the update training in the In Vitro Fertilization Unit of Etlik Zübeyde Hanım Maternity and Obstetrics Hospital. She currently continues to serve her patients at Liv Hospital Gaziantep.
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