Early vaginal cancer may not cause any signs and symptoms. As it progresses, vaginal cancer may cause signs and symptoms such as:
- Unusual vaginal bleeding, for example, after intercourse or after menopause
- Watery vaginal discharge
- A lump or mass in your vagina
- Painful urination
- Pelvic pain
When to see a doctor
See your doctor if you have any signs and symptoms related to vaginal cancer, such as abnormal vaginal bleeding. Since vaginal cancer doesn't always cause signs and symptoms, follow your doctor's recommendations about when you should have routine pelvic exams.
It's not clear what causes vaginal cancer. In general, cancer begins when healthy cells acquire a genetic mutation that turns normal cells into abnormal cells.
Healthy cells grow and multiply at a set rate, eventually dying at a set time. Cancer cells grow and multiply out of control, and they don't die. The accumulating abnormal cells form a mass (tumor).
Cancer cells invade nearby tissues and can break off from an initial tumor to spread elsewhere in the body (metastasize).
Types of vaginal cancer
Vaginal cancer is divided into different types based on the type of cell where the cancer began. Vaginal cancer types include:
- Vaginal squamous cell carcinoma, which begins in the thin, flat cells (squamous cells) that line the surface of the vagina, is the most common type
- Vaginal adenocarcinoma, which begins in the glandular cells on the surface of your vagina
- Vaginal melanoma, which develops in the pigment-producing cells (melanocytes) of your vagina
- Vaginal sarcoma, which develops in the connective tissue cells or muscles cells in the walls of your vagina
Factors that may increase your risk of vaginal cancer include:
- Increasing age. Your risk of vaginal cancer increases as you age. Most women who are diagnosed with vaginal cancer are older than 60 years of age.
Atypical cells in the vagina called vaginal intraepithelial neoplasia. Women with vaginal intraepithelial neoplasia (VAIN) have an increased risk of vaginal cancer.
In women with VAIN, cells in the vagina appear different from normal cells, but not different enough to be considered cancer. A small number of women with VAIN will eventually develop vaginal cancer, though doctors aren't sure what causes some cases to develop into cancer and others to remain benign.
VAIN is caused by the sexually transmitted human papillomavirus (HPV), which can cause cervical, vaginal and vulvar cancers, among others. Vaccines that prevent some types of HPV infection are available.
- Exposure to miscarriage prevention drug. Women whose mothers took a drug called diethylstilbestrol (DES) while pregnant in the 1950s have an increased risk of a certain type of vaginal cancer called clear cell adenocarcinoma.
Other risk factors that have been linked to an increased risk of vaginal cancer include:
- Multiple sexual partners
- Early age at first intercourse
- HIV infection
Vaginal cancer may spread (metastasize) to distant areas of your body, such as your lungs, liver and bones.
There is no sure way to prevent vaginal cancer. However you may reduce your risk if you:
- Undergo regular pelvic exams and Pap tests. You can increase the chance that vaginal cancer is discovered early by having routine pelvic exams and Pap tests. When discovered in its earliest stages, vaginal cancer is more likely to be cured. Discuss with your doctor when to begin these tests and how often to repeat them.
- Ask your doctor about the HPV vaccine. Receiving a vaccination to prevent HPV infection may reduce your risk of vaginal cancer and other HPV-related cancers. Ask your doctor whether an HPV vaccine is appropriate for you.
- Don't smoke. If you smoke, quit. If you don't smoke, don't start. Smoking increases the risk of vaginal cancer.